| 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 |