| NPI | 1477054567 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SIAMAK BAGHERI CEO/Owner 424-303-7860 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: CA 56074) |
| Enumeration Date | 2018-02-23 |
| Last Update Date | 2018-02-23 |