| NPI | 1619369527 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEVORK SHAHE SHAHINIAN CEO/Owner 818-960-4664 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336L0003X Pharmacy, Long Term Care Pharmacy (Licence: CA phy55421) |
| Additional Taxonomies | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: CA 55421) |
| 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: CA phy55421) | |
| 3336L0003X Pharmacy, Long Term Care Pharmacy (Licence: CA 55421) | |
| Enumeration Date | 2015-03-02 |
| Last Update Date | 2018-01-29 |