| NPI | 1801945605 |
|---|---|
| Doing Business As | COLONIAL DRUG |
| Entity Type | Organization |
| Authorized Contact | SUZANNA BALYAN President/CEO 323-666-4044 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| 333600000X Pharmacy | |
| Enumeration Date | 2007-01-09 |
| Last Update Date | 2021-09-21 |