| NPI | 1306276993 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GABRIEL V. RUBANENKO President 323-965-5088 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 332900000X Non-Pharmacy Dispensing Site (Licence: CA A39466) |
| Enumeration Date | 2013-11-18 |
| Last Update Date | 2013-11-18 |