NPI | 1245941848 |
---|---|
Entity Type | Organization |
Authorized Contact | TAMMY LEHR WALLACE CFO 310-794-8627 |
Organization Subpart ? | No |
Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
Additional Taxonomies | 3336C0004X Pharmacy, Compounding Pharmacy |
Enumeration Date | 2022-12-06 |
Last Update Date | 2022-12-06 |