NPI | 1750700274 |
---|---|
Entity Type | Organization |
Authorized Contact | SHARIAR COHEN-GADOL President 805-449-8781 |
Organization Subpart ? | Yes |
Primary Taxonomy | 332900000X Non-Pharmacy Dispensing Site (Licence: CA A88619) |
Enumeration Date | 2014-04-11 |
Last Update Date | 2014-04-14 |