| NPI | 1932231560 |
|---|---|
| Doing Business As | SPECIALITY COMPOUNDING PHARMACY |
| Entity Type | Organization |
| Authorized Contact | DAVID KOHANJASH Secretary 818-308-8314 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0004X Pharmacy Compounding Pharmacy (Licence: CA 48534) |
| Enumeration Date | 2007-03-09 |
| Last Update Date | 2009-02-11 |