| NPI | 1871809608 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAMIR BASSILI DEIBO Pharmacy Manager 818-203-7021 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Enumeration Date | 2010-08-31 |
| Last Update Date | 2010-08-31 |