| NPI | 1467431791 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARTHA TUMBAN Owner 323-752-1692 |
| Organization Subpart ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: CA 48238) |
| Additional Taxonomies | 333600000X Pharmacy (Licence: CA PHY 32368) |
| Enumeration Date | 2006-01-13 |
| Last Update Date | 2008-07-03 |