| NPI | 1922805548 |
|---|---|
| Doing Business As | BEVERLY GLEN PHARMACY LTC |
| Entity Type | Organization |
| Authorized Contact | ADAM MICHAEL BURMAN President 310-475-0568 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 3336L0003X Pharmacy, Long Term Care Pharmacy |
| Enumeration Date | 2025-03-01 |
| Last Update Date | 2025-03-01 |