NPI | 1639103807 |
---|---|
Doing Business As | MEDPRO PHARMACY |
Entity Type | Organization |
Authorized Contact | SIAVASH AHDOOT President/Pharmacist 323-939-8300 |
Organization Subpart ? | No |
Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: CA PHY50438) |
Additional Taxonomies | 333600000X Pharmacy (Licence: CA PHY50438) |
Enumeration Date | 2006-07-11 |
Last Update Date | 2011-08-30 |