| NPI | 1417231630 |
|---|---|
| Doing Business As | KING'S PHARMACY AND COMPOUNDING CENTER |
| Entity Type | Organization |
| Authorized Contact | ALI REZAEI PIC/Owner 949-244-9415 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: CA PHY50750) |
| Additional Taxonomies | 3336C0004X Pharmacy, Compounding Pharmacy |
| Enumeration Date | 2011-10-06 |
| Last Update Date | 2014-05-09 |