| NPI | 1790288991 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KHOSROW DAVID HAKIMIAN CFO/Secretary 424-335-0755 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2018-03-14 |
| Last Update Date | 2024-09-30 |