| NPI | 1295823318 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL HOUSKE General Counsel And Executive VP 310-836-6666 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336H0001X Pharmacy Home Infusion Therapy Pharmacy (Licence: CA PHY46839) |
| Additional Taxonomies | 3336C0004X Pharmacy Compounding Pharmacy |
| 3336L0003X Pharmacy Long Term Care Pharmacy | |
| 3336S0011X Pharmacy Specialty Pharmacy | |
| Enumeration Date | 2006-10-11 |
| Last Update Date | 2021-01-05 |