| NPI | 1265788558 |
|---|---|
| Doing Business As | PHARMACY 90210 |
| Entity Type | Organization |
| Authorized Contact | SHAHRAM SOROUDI President, CEO, PIC 310-777-2000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: CA 51013) |
| Enumeration Date | 2012-07-24 |
| Last Update Date | 2014-11-25 |