| NPI | 1447631122 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARGUERITE LOUISE RASSINER Staff Pharmacist 818-880-8807 |
| Organization Subpart ? | No |
| Primary Taxonomy | 305S00000X Point of Service (Licence: CA rph42205) |
| Enumeration Date | 2015-06-18 |
| Last Update Date | 2015-06-18 |