| NPI | 1366266744 |
|---|---|
| Doing Business As | INTRA RX DRUGS LYNWOOD |
| Entity Type | Organization |
| Authorized Contact | FAIRVEOLA BANKS Owner 310-637-2006 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336L0003X Pharmacy, Long Term Care Pharmacy |
| Enumeration Date | 2024-11-12 |
| Last Update Date | 2024-11-12 |