| NPI | 1457850125 |
|---|---|
| Doing Business As | PARK MESA PHARMACY |
| Entity Type | Organization |
| Authorized Contact | JOSEPH CHERIAN Owner/President/PIC/AO 714-319-4653 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: CA 55987) |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2018-02-07 |
| Last Update Date | 2018-07-27 |