| NPI | 1770855132 |
|---|---|
| Doing Business As | PICO ALISO COMMUNITY PHARMACY |
| Entity Type | Organization |
| Authorized Contact | BETTINA LEWIS COO 213-893-1960 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: CA PHY49915) |
| Additional Taxonomies | 333600000X Pharmacy |
| 3336C0002X Pharmacy, Clinic Pharmacy | |
| Enumeration Date | 2012-02-01 |
| Last Update Date | 2021-05-07 |