| NPI | 1730199555 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALEX SIROTA Secretary/Pharmacy Manager 323-878-2555 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Additional Taxonomies | 183500000X Pharmacist (Licence: CA RPH41620) |
| Enumeration Date | 2006-08-08 |
| Last Update Date | 2022-04-12 |