NPI | 1801807482 |
---|---|
Doing Business As | COLALTA PHARMACY |
Entity Type | Organization |
Authorized Contact | RITA AVAKIAN President 818-521-4101 |
Organization Subpart ? | No |
Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
333600000X Pharmacy | |
3336M0003X Pharmacy, Managed Care Organization Pharmacy | |
Enumeration Date | 2006-08-10 |
Last Update Date | 2025-04-16 |