| NPI | 1598272346 |
|---|---|
| Doing Business As | 15TH STREET PHARMACY |
| Entity Type | Organization |
| Authorized Contact | NAZIK NANCY SIMONIAN President/Owner 818-261-8023 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: CA 55714) |
| Enumeration Date | 2018-01-02 |
| Last Update Date | 2018-01-02 |