| NPI | 1790229748 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELLE MOYN Pharmacist 818-590-2445 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: CO 21377) |
| Enumeration Date | 2016-12-09 |
| Last Update Date | 2016-12-09 |