| NPI | 1558584227 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NADRINE BALADY BOUZIANE Pharmacy Director 661-945-8456 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0002X Pharmacy, Clinic Pharmacy (Licence: CA PHE46428) |
| Enumeration Date | 2007-04-11 |
| Last Update Date | 2020-08-22 |