| NPI | 1770579518 |
|---|---|
| Doing Business As | PACIFIC GRAND PHARMACY & SUPPLY |
| Entity Type | Organization |
| Authorized Contact | PETER BAGDASARIAN President 818-500-1517 |
| Organization Subpart ? | No |
| Primary Taxonomy | 333600000X Pharmacy (Licence: CA PHY44176) |
| Enumeration Date | 2005-09-27 |
| Last Update Date | 2010-01-14 |