| NPI | 1538680269 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PEDRAM PEZESHKI Pharmacist 818-912-0132 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: AZ Y006909) |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2017-07-03 |
| Last Update Date | 2018-06-07 |