| NPI | 1366484909 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HOUSHANG ABD CFO 626-570-0612 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336L0003X Pharmacy Long Term Care Pharmacy (Licence: CA PHY48932) |
| Additional Taxonomies | 3336I0012X Pharmacy Institutional Pharmacy |
| Enumeration Date | 2006-06-11 |
| Last Update Date | 2013-06-23 |