| NPI | 1386001261 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARLA LOU WSIAKI Project Manager 323-254-0046 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0002X Pharmacy, Clinic Pharmacy (Licence: CA 5638537) |
| Enumeration Date | 2016-01-22 |
| Last Update Date | 2021-03-02 |