NPI | 1376053850 |
---|---|
Entity Type | Organization |
Authorized Contact | ZOHA IRFAN KHEIRI CEO 661-293-7979 |
Organization Subpart ? | Yes |
Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: CA PHY55638) |
Additional Taxonomies | 3336L0003X Pharmacy Long Term Care Pharmacy |
Enumeration Date | 2017-10-10 |
Last Update Date | 2022-06-13 |