| NPI | 1649580531 |
|---|---|
| Doing Business As | PARKS PHARMACY #4 |
| Entity Type | Organization |
| Authorized Contact | LA SONYA GLOVER President 323-314-4680 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: AL 114277) |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2010-10-14 |
| Last Update Date | 2020-07-03 |