| NPI | 1669781043 |
|---|---|
| Doing Business As | USC I.D.S. PHARMACY |
| Entity Type | Organization |
| Authorized Contact | SCOTT EVANS C.O.O 323-442-8677 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: CA PHY 50231) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2010-10-01 |
| Last Update Date | 2010-10-01 |