| NPI | 1912343344 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JACOB HANAIE Pharmacist In Charge 818-631-1000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336L0003X Pharmacy Long Term Care Pharmacy (Licence: CA PHY50641) |
| Additional Taxonomies | 333600000X Pharmacy |
| 3336C0003X Pharmacy Community/Retail Pharmacy | |
| Enumeration Date | 2013-05-13 |
| Last Update Date | 2013-08-30 |