| NPI | 1295737070 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHAHLA KEYVANFAR MELAMED Pharmacist 310-273-1644 |
| Organization Subpart ? | No |
| Primary Taxonomy | 333600000X Pharmacy (Licence: CA PHY38297) |
| Enumeration Date | 2005-08-11 |
| Last Update Date | 2007-11-07 |