| NPI | 1326049867 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FARDIN DADVAND Owner 310-234-9991 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy |
| Additional Taxonomies | 333600000X Pharmacy (Licence: CA PHY44494) |
| Enumeration Date | 2005-08-09 |
| Last Update Date | 2022-04-26 |