| NPI | 1326179979 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JACK AMIN President 310-855-0475 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332900000X Non-Pharmacy Dispensing Site (Licence: CA wls54594) |
| Enumeration Date | 2007-03-07 |
| Last Update Date | 2020-08-22 |