| NPI | 1861327066 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SKY COUNTRYMAN CEO 310-621-2564 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0004X Pharmacy, Compounding Pharmacy |
| Additional Taxonomies | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Enumeration Date | 2026-06-17 |
| Last Update Date | 2026-06-17 |