| NPI | 1710995782 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DIMITRY BIGUN President/Pharmacist 310-344-3462 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: CA PHY46074) |
| Enumeration Date | 2006-08-04 |
| Last Update Date | 2020-08-22 |