| NPI | 1710920079 |
|---|---|
| Doing Business As | PENINSULA PHARMACY |
| Entity Type | Organization |
| Authorized Contact | SHAHRAM ELIE President 310-833-3535 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: CA PHY36626) |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2006-06-14 |
| Last Update Date | 2018-07-19 |