| NPI | 1467958611 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YULIYA K ILYUSHENKO Owner 323-704-5369 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336L0003X Pharmacy, Long Term Care Pharmacy |
| Additional Taxonomies | 333600000X Pharmacy (Licence: AZ Y007643) |
| 3336C0003X Pharmacy, Community/Retail Pharmacy | |
| Enumeration Date | 2018-04-04 |
| Last Update Date | 2019-01-14 |