| NPI | 1891996997 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GARABET NERCESSIAN Pharmacist 818-246-7156 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: CA PHY45305) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2007-05-29 |
| Last Update Date | 2008-06-16 |