| NPI | 1790237113 |
|---|---|
| Doing Business As | MICHAEL'S PHARMACY |
| Entity Type | Organization |
| Authorized Contact | BABAK R. KOHANTEB President / Pharmacist In Charge 818-905-0669 |
| Organization Subpart ? | No |
| Primary Taxonomy | 333600000X Pharmacy (Licence: CA PHY43586) |
| Additional Taxonomies | 3336L0003X Pharmacy, Long Term Care Pharmacy (Licence: CA PHY43586) |
| 3336S0011X Pharmacy, Specialty Pharmacy (Licence: CA PHY43586) | |
| Enumeration Date | 2016-11-02 |
| Last Update Date | 2016-11-02 |