| NPI | 1790049484 |
|---|---|
| Doing Business As | PETICUB |
| Entity Type | Organization |
| Authorized Contact | RABIN SHAOULIAN Location Manager 310-839-7387 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Additional Taxonomies | 3336M0002X Pharmacy, Mail Order Pharmacy |
| 3336H0001X Pharmacy, Home Infusion Therapy Pharmacy | |
| 3336C0004X Pharmacy, Compounding Pharmacy | |
| 333600000X Pharmacy | |
| Enumeration Date | 2012-06-27 |
| Last Update Date | 2012-08-21 |