| NPI | 1831302199 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFFRY V. ESCALLIER Pharmacist 310-543-1331 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336S0011X Pharmacy, Specialty Pharmacy (Licence: CA PHY22703) |
| Enumeration Date | 2007-05-07 |
| Last Update Date | 2008-04-22 |