| 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 |