| NPI | 1336130186 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EDWIN BEDROSIAN CEO 818-321-0177 |
| Organization Subpart ? | No |
| Primary Taxonomy | 333600000X Pharmacy (Licence: CA PHY 44636) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2005-11-01 |
| Last Update Date | 2022-03-15 |