| NPI | 1336230010 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARVA BRANNUM Owner 626-398-1696 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy |
| Additional Taxonomies | 333600000X Pharmacy (Licence: CA PHY34307) |
| 3336L0003X Pharmacy Long Term Care Pharmacy | |
| 3336S0011X Pharmacy Specialty Pharmacy | |
| Enumeration Date | 2006-09-27 |
| Last Update Date | 2025-08-01 |