| NPI | 1639898414 | 
|---|---|
| Doing Business As | RONALD REAGAN UCLA - MEDICAL PLAZA LEVEL I PHARMACY | 
| Entity Type | Organization | 
| Authorized Contact | TAMMY WALLACE CFO Ucla Hospital System 310-794-8627 | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 3336S0011X Pharmacy, Specialty Pharmacy | 
| Additional Taxonomies | 333600000X Pharmacy | 
| 3336C0003X Pharmacy, Community/Retail Pharmacy | |
| Enumeration Date | 2022-08-24 | 
| Last Update Date | 2022-08-24 |