| NPI | 1386734044 |
|---|---|
| Doing Business As | MEDICAL GROUP PHARMACY |
| Entity Type | Organization |
| Authorized Contact | JOSEPH VIVO Pres 818-787-4490 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: CA PHY44275) |
| Additional Taxonomies | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Enumeration Date | 2006-10-13 |
| Last Update Date | 2020-12-18 |