NPI | 1447308648 |
---|---|
Former Legal Business Name | SERVAC PHARMACY |
Entity Type | Organization |
Authorized Contact | ARNOLD GARGANTOS Pharmacist Owner 310-370-1040 |
Organization Subpart ? | No |
Primary Taxonomy | 183500000X Pharmacist (Licence: CA PHY44635) |
Additional Taxonomies | 3336L0003X Pharmacy, Long Term Care Pharmacy |
Enumeration Date | 2007-01-06 |
Last Update Date | 2022-06-24 |