| NPI | 1437142981 |
|---|---|
| Doing Business As | GRAND AVE PHARMACY |
| Entity Type | Organization |
| Authorized Contact | SOON R CHUNG Owner 213-746-4114 |
| Organization Subpart ? | No |
| Primary Taxonomy | 333600000X Pharmacy (Licence: CA PHY46585) |
| Enumeration Date | 2005-08-30 |
| Last Update Date | 2023-03-07 |