| NPI | 1750909040 |
|---|---|
| Doing Business As | PROVERI FAMILY PHARMACY |
| Entity Type | Organization |
| Authorized Contact | DAVIS THANH TRAN Owner 805-300-3584 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Enumeration Date | 2020-07-13 |
| Last Update Date | 2020-07-13 |