| NPI | 1447646518 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VADIM BELITSKY President/Owner 323-739-0011 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: CA PHY52413) |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2015-04-15 |
| Last Update Date | 2016-06-09 |