| NPI | 1730562695 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VAN DO Staff Pharmacist 310-408-2627 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: CA 65074) |
| Enumeration Date | 2015-07-09 |
| Last Update Date | 2015-07-09 |