| NPI | 1568744647 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARYEM AKHAVANROOFIGAR Owner/PIC 310-709-3581 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: CA 54308) |
| Additional Taxonomies | 3336S0011X Pharmacy Specialty Pharmacy |
| 333600000X Pharmacy | |
| 3336C0004X Pharmacy Compounding Pharmacy | |
| Enumeration Date | 2011-09-14 |
| Last Update Date | 2017-02-20 |