| NPI | 1477225530 |
|---|---|
| Doing Business As | MICHAEL'S PHARMACY |
| Entity Type | Organization |
| Authorized Contact | BABAK REUBEN KOHANTEB President/CEO 818-905-0669 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336S0011X Pharmacy, Specialty Pharmacy |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2021-09-28 |
| Last Update Date | 2021-09-28 |