| NPI | 1568051183 |
|---|---|
| Doing Business As | LA COMPOUNDING PHARMACY |
| Entity Type | Organization |
| Authorized Contact | MOUSA MIRAKHOR KALIMI CEO/Director 310-978-6785 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Enumeration Date | 2021-01-18 |
| Last Update Date | 2021-01-18 |