| NPI | 1659812519 |
|---|---|
| Doing Business As | CREATIVE RX |
| Entity Type | Organization |
| Authorized Contact | PHILIP AARON ETTEDGUI CEO 818-259-5375 |
| Organization Subpart ? | No |
| Primary Taxonomy | 333600000X Pharmacy (Licence: CA 49611) |
| Enumeration Date | 2017-03-13 |
| Last Update Date | 2017-03-13 |