| NPI | 1790830115 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PHIL LOWELL MILLMAN President 562-698-0921 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BP3500X Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition (Licence: CA LSC99027) |
| Additional Taxonomies | 3336C0004X Pharmacy, Compounding Pharmacy (Licence: CA LSC99027) |
| 3336H0001X Pharmacy, Home Infusion Therapy Pharmacy (Licence: CA LSC99027) | |
| 3336S0011X Pharmacy, Specialty Pharmacy (Licence: CA LSC99027) | |
| 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: CA PHY33091) | |
| Enumeration Date | 2007-01-24 |
| Last Update Date | 2011-01-12 |