| NPI | 1609938331 |
|---|---|
| Doing Business As | 986 PHARMACY #8015 |
| Entity Type | Organization |
| Authorized Contact | OLIVIA T MARTINEZ CEO 626-337-1510 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2006-12-16 |
| Last Update Date | 2023-08-22 |