| NPI | 1538919907 |
|---|---|
| Doing Business As | CSV COLONY STREET PHARMACY |
| Entity Type | Organization |
| Authorized Contact | OLGA MEAVE Chief Executive Officer 661-635-3050 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Enumeration Date | 2024-03-26 |
| Last Update Date | 2024-03-26 |