| NPI | 1790929511 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MAX SCOTT LIEBERENZ Sr.VP/CFO 323-361-2235 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: CA HSP13726) |
| Additional Taxonomies | 333600000X Pharmacy (Licence: CA HSP13726) |
| Enumeration Date | 2009-04-23 |
| Last Update Date | 2021-10-21 |