NPI | 1477615003 |
---|---|
Doing Business As | OLYMPIA PLAZA PHARMACY |
Entity Type | Organization |
Authorized Contact | TATYANA BOROKHOVICH PIC 323-937-2590 |
Organization Subpart ? | No |
Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: CA PHY48416) |
Additional Taxonomies | 333600000X Pharmacy |
3336C0004X Pharmacy, Compounding Pharmacy | |
3336S0011X Pharmacy, Specialty Pharmacy (Licence: CA PHY 48416) | |
Enumeration Date | 2006-12-13 |
Last Update Date | 2012-09-04 |