| NPI | 1528298064 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | IGOR MARTINOV President/PIC 818-335-4000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: CA PHY51128) |
| Additional Taxonomies | 333600000X Pharmacy (Licence: CA PHY51128) |
| Enumeration Date | 2009-07-17 |
| Last Update Date | 2012-12-14 |