| NPI | 1811125198 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK KOVINSKY President 424-335-0520 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: CA PHY53839) |
| Enumeration Date | 2009-06-25 |
| Last Update Date | 2016-08-31 |