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