| NPI | 1790542850 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MINA SHAHPASANDZADEH President/CEO 424-440-4919 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336L0003X Pharmacy, Long Term Care Pharmacy |
| Additional Taxonomies | 3336S0011X Pharmacy, Specialty Pharmacy |
| 333600000X Pharmacy | |
| Enumeration Date | 2024-03-04 |
| Last Update Date | 2026-05-15 |