NPI | 1619036043 |
---|---|
Doing Business As | LOYOLA PHARMACY |
Entity Type | Organization |
Authorized Contact | NIMA RODEFSHALOM President 310-670-3834 |
Organization Subpart ? | No |
Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: CA PHY53692) |
Additional Taxonomies | 3336C0004X Pharmacy, Compounding Pharmacy |
333600000X Pharmacy | |
Enumeration Date | 2006-12-08 |
Last Update Date | 2016-10-12 |