NPI | 1679582662 |
---|---|
Doing Business As | MERCY PLAZA PHARMACY 24TH STREET |
Entity Type | Organization |
Authorized Contact | DALE R TAYLOR Owner/Pharmacist 661-324-2545 |
Organization Subpart ? | Yes |
Primary Taxonomy | 3336L0003X Pharmacy, Long Term Care Pharmacy (Licence: CA PHY47166) |
Additional Taxonomies | 183500000X Pharmacist (Licence: CA RPH37875) |
Enumeration Date | 2006-08-07 |
Last Update Date | 2016-01-27 |