NPI | 1255342747 |
---|---|
Doing Business As | KNOLLWOOD PHARMACY |
Entity Type | Organization |
Authorized Contact | MILAD TOSSOUN President, PIC 818-363-8107 |
Organization Subpart ? | No |
Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: CA PHY47109) |
Additional Taxonomies | 333600000X Pharmacy |
Enumeration Date | 2006-08-10 |
Last Update Date | 2018-06-15 |