| NPI | 1811021520 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID SHAYMAN Owner 415-563-8204 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: CA 48322) |
| Additional Taxonomies | 3336C0004X Pharmacy, Compounding Pharmacy |
| Enumeration Date | 2007-03-15 |
| Last Update Date | 2020-08-22 |