| NPI | 1861499527 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROUZBEH JAVAHERIAN President 323-939-9490 |
| Organization Subpart ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: CA PHY48785) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: CA 102503) |
| 3336L0003X Pharmacy Long Term Care Pharmacy (Licence: CA PHY48785) | |
| Enumeration Date | 2005-07-07 |
| Last Update Date | 2009-07-10 |