| NPI | 1770818783 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KENNETH SCOTT CARRUTHERS Chief Of Pharmacy 323-860-5266 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336S0011X Pharmacy Specialty Pharmacy |
| Additional Taxonomies | 333600000X Pharmacy (Licence: MD P06989) |
| 3336C0002X Pharmacy Clinic Pharmacy (Licence: VA 0214001815) | |
| 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: DC CP0900367) | |
| Enumeration Date | 2009-10-08 |
| Last Update Date | 2025-05-23 |