NPI | 1629616784 |
---|---|
Entity Type | Organization |
Authorized Contact | GINGER JOHNSON Manager 818-294-2657 |
Organization Subpart ? | No |
Primary Taxonomy | 3336S0011X Pharmacy Specialty Pharmacy |
Additional Taxonomies | 3336C0004X Pharmacy Compounding Pharmacy |
3336H0001X Pharmacy Home Infusion Therapy Pharmacy | |
3336M0002X Pharmacy Mail Order Pharmacy | |
Enumeration Date | 2019-12-19 |
Last Update Date | 2020-07-24 |