| NPI | 1750869665 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EILEEN ANDREASYAN Owner/PIC 818-572-3956 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy |
| Additional Taxonomies | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: CA 56793) |
| 3336H0001X Pharmacy Home Infusion Therapy Pharmacy | |
| 3336L0003X Pharmacy Long Term Care Pharmacy | |
| 3336S0011X Pharmacy Specialty Pharmacy | |
| Enumeration Date | 2018-08-02 |
| Last Update Date | 2025-03-13 |