| NPI | 1417346305 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ARDALAN BEHEL CEO 310-402-7318 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: CA PHY55990) |
| Additional Taxonomies | 333600000X Pharmacy |
| 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: CA 54248) | |
| Enumeration Date | 2015-01-14 |
| Last Update Date | 2022-03-30 |