| NPI | 1629215504 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAROLYN S. CLARK CEO 310-668-5201 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0002X Pharmacy, Clinic Pharmacy (Licence: CA PHE 14221) |
| Enumeration Date | 2009-01-14 |
| Last Update Date | 2009-01-14 |