| 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 |