| NPI | 1629116819 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL MOCADAM President 818-996-9906 |
| Organization Subpart ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: CA PHY45916) |
| Additional Taxonomies | 3336C0003X Pharmacy Community/Retail Pharmacy |
| Enumeration Date | 2007-02-01 |
| Last Update Date | 2025-10-13 |