| NPI | 1326266529 |
|---|---|
| Doing Business As | KG PHARMACY |
| Entity Type | Organization |
| Authorized Contact | KEVIN LAXER CEO 310-920-8199 |
| Organization Subpart ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: CA PHY 47116) |
| Enumeration Date | 2007-04-23 |
| Last Update Date | 2007-11-02 |