| NPI | 1477785699 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LUSINE HAKOBYAN Manager 323-850-6001 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: CA 50025) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2009-08-21 |
| Last Update Date | 2010-08-02 |