| NPI | 1881063899 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BASSEM HENEIN Pharmacy District Manager 310-325-2813 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: CA 73171) |
| Enumeration Date | 2015-09-21 |
| Last Update Date | 2015-09-21 |