| NPI | 1750335790 |
|---|---|
| Doing Business As | SAN PEDRO PHARMACY |
| Entity Type | Organization |
| Authorized Contact | VISHAL PATEL Pharmacist In Charge 310-831-0155 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: CA PHY51898) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: CA PHY51898) |
| Enumeration Date | 2006-05-22 |
| Last Update Date | 2014-09-18 |