| NPI | 1427069913 |
|---|---|
| Doing Business As | 1560 PHARMACY |
| Entity Type | Organization |
| Authorized Contact | MICHAEL MILLER Owner 818-240-4971 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: CA PHY35652) |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2006-08-10 |
| Last Update Date | 2017-03-28 |