| NPI | 1336150960 |
|---|---|
| Doing Business As | WESTSIDE BOUTIQUE PHARMACY INC |
| Entity Type | Organization |
| Authorized Contact | SEVAK OLMESSEKIAN Pharmacist In Charge 323-533-5516 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: CA PHY45059) |
| Additional Taxonomies | 3336S0011X Pharmacy, Specialty Pharmacy |
| 333600000X Pharmacy | |
| Enumeration Date | 2006-08-10 |
| Last Update Date | 2009-06-19 |