| NPI | 1891214011 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | IGOR SEREDA President/Director/Officer 818-217-5312 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Additional Taxonomies | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: TX 31591) |
| Enumeration Date | 2017-09-19 |
| Last Update Date | 2019-08-14 |