| NPI | 1376084202 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ARMEN APOYAN CFO 888-658-0801 |
| Organization Subpart ? | No |
| Primary Taxonomy | 333600000X Pharmacy (Licence: CA PHY54580) |
| Additional Taxonomies | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: CA PHY54580) |
| 3336L0003X Pharmacy Long Term Care Pharmacy (Licence: CA PHY54580) | |
| 3336M0002X Pharmacy Mail Order Pharmacy (Licence: CA PHY54580) | |
| Enumeration Date | 2017-03-11 |
| Last Update Date | 2017-03-11 |