| NPI | 1710097886 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ASSDOLLAH TOOLAMI-VAGHEI President/Owner 310-289-6590 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy |
| Additional Taxonomies | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: CA PHY 44728) |
| Enumeration Date | 2006-08-30 |
| Last Update Date | 2020-08-13 |