NPI | 1508607300 |
---|---|
Entity Type | Organization |
Authorized Contact | SUSANNA KESHISHIAN President 818-291-4099 |
Organization Subpart ? | No |
Primary Taxonomy | 3336L0003X Pharmacy, Long Term Care Pharmacy |
Additional Taxonomies | 333600000X Pharmacy |
Enumeration Date | 2024-06-05 |
Last Update Date | 2024-06-05 |