| NPI | 1407244585 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHEN COBOS President 818-464-5655 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: CA PHY51979) |
| Additional Taxonomies | 3336C0004X Pharmacy, Compounding Pharmacy (Licence: CA PHY51979) |
| Enumeration Date | 2014-12-24 |
| Last Update Date | 2015-10-09 |