| NPI | 1770797805 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAROLYN S. CLARK Administrator 310-668-5201 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0002X Pharmacy, Clinic Pharmacy (Licence: CA PHE14222) |
| Enumeration Date | 2007-05-09 |
| Last Update Date | 2009-03-12 |