| NPI | 1366453854 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT ROSEN Owner 310-452-5705 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: CA PHY30898) |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2006-08-10 |
| Last Update Date | 2017-01-18 |