| NPI | 1457985426 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | POCH BLANCO CEO 310-935-1899 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Additional Taxonomies | 3336H0001X Pharmacy, Home Infusion Therapy Pharmacy |
| 3336S0011X Pharmacy, Specialty Pharmacy | |
| Enumeration Date | 2020-02-27 |
| Last Update Date | 2024-11-14 |