| NPI | 1740264191 |
|---|---|
| Doing Business As | SAINT JOHNS PLAZA PHARMACY |
| Entity Type | Organization |
| Authorized Contact | NILESH KOTADIYA CFO/Director 310-453-6553 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2005-11-30 |
| Last Update Date | 2020-03-12 |