| NPI | 1275669020 |
|---|---|
| Doing Business As | PORTOLA PHARMACY |
| Entity Type | Organization |
| Authorized Contact | GENEVA GE CHEN President 323-222-2362 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: CA PHY55260) |
| Additional Taxonomies | 291U00000X Clinical Medical Laboratory |
| 333600000X Pharmacy | |
| Enumeration Date | 2007-02-26 |
| Last Update Date | 2021-03-11 |