| NPI | 1831405588 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LA SONYA GLOVER President 323-314-4680 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: AL 113422) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| 333600000X Pharmacy | |
| 3336C0004X Pharmacy, Compounding Pharmacy | |
| 3336L0003X Pharmacy, Long Term Care Pharmacy | |
| Enumeration Date | 2010-08-19 |
| Last Update Date | 2020-07-03 |