NPI | 1679676639 |
---|---|
Doing Business As | USC MEDICAL PLAZA PHARMACY |
Entity Type | Organization |
Authorized Contact | MICHAEL RUDOLPH Executive Director 323-442-1354 |
Organization Subpart ? | No |
Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: CA PHY37195) |
Additional Taxonomies | 333600000X Pharmacy |
3336C0004X Pharmacy, Compounding Pharmacy | |
Enumeration Date | 2006-09-06 |
Last Update Date | 2018-07-19 |