| NPI | 1336247360 |
|---|---|
| Doing Business As | BRENTWOOD PLAZA PHARMACY |
| Entity Type | Organization |
| Authorized Contact | BEN TEHRANI CEO/PIC 310-820-1496 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: CA 51494) |
| Additional Taxonomies | 3336S0011X Pharmacy, Specialty Pharmacy |
| 333600000X Pharmacy | |
| 332B00000X Durable Medical Equipment & Medical Supplies | |
| Enumeration Date | 2006-09-21 |
| Last Update Date | 2017-04-28 |