| NPI | 1508125402 |
|---|---|
| Doing Business As | MOMS PHARMACY |
| Entity Type | Organization |
| Authorized Contact | KENNETH SCOTT CARRUTHERS National Director Of Pharmacy Senio 323-860-5266 |
| Organization Subpart ? | No |
| Primary Taxonomy | 333600000X Pharmacy |
| Enumeration Date | 2012-05-11 |
| Last Update Date | 2012-05-15 |