| NPI | 1932513298 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GLENN A. MARSHAK President 310-954-9483 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 332900000X Non-Pharmacy Dispensing Site (Licence: CA G78454) |
| Enumeration Date | 2014-06-16 |
| Last Update Date | 2015-10-05 |