| NPI | 1265511661 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FARID RAPHAEL POURMORADY President 310-247-0247 |
| Organization Subpart ? | No |
| Primary Taxonomy | 333600000X Pharmacy (Licence: CA PHY46362) |
| Additional Taxonomies | 3336L0003X Pharmacy, Long Term Care Pharmacy (Licence: CA PHY 46362) |
| Enumeration Date | 2006-11-04 |
| Last Update Date | 2013-10-10 |