| 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 |