| NPI | 1366554347 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAREK EBRAHIM Owner 818-395-6691 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: CA PHY44769) |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2020-08-22 |