| NPI | 1518406271 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ARMEN GHADIMIAN Director 833-224-5538 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336L0003X Pharmacy, Long Term Care Pharmacy (Licence: AZ Y007241) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| 333600000X Pharmacy | |
| Enumeration Date | 2017-02-14 |
| Last Update Date | 2023-10-02 |