| NPI | 1922343482 |
|---|---|
| Doing Business As | MICKEY FINE PHARMACY & SNACK SHOP |
| Entity Type | Organization |
| Authorized Contact | JEFFREY GROSS President 310-277-6123 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: CA PHY52590) |
| Enumeration Date | 2012-12-10 |
| Last Update Date | 2015-04-27 |