| NPI | 1447279435 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELLA PILDERVASER President 818-755-9081 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336L0003X Pharmacy, Long Term Care Pharmacy (Licence: CA PHY46338) |
| Additional Taxonomies | 3336I0012X Pharmacy, Institutional Pharmacy |
| 332B00000X Durable Medical Equipment & Medical Supplies | |
| 3336C0003X Pharmacy, Community/Retail Pharmacy | |
| 3336M0002X Pharmacy, Mail Order Pharmacy | |
| 3336L0003X Pharmacy, Long Term Care Pharmacy | |
| Enumeration Date | 2006-07-19 |
| Last Update Date | 2020-08-22 |