| NPI | 1780936237 |
|---|---|
| Doing Business As | LOYOLA PHARMACY |
| Entity Type | Organization |
| Authorized Contact | JOE KOHAN Treasury 310-780-2844 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336L0003X Pharmacy, Long Term Care Pharmacy (Licence: CA PHY48754) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| 3336M0002X Pharmacy, Mail Order Pharmacy | |
| 3336S0011X Pharmacy, Specialty Pharmacy | |
| Enumeration Date | 2012-10-09 |
| Last Update Date | 2012-10-09 |