| NPI | 1942554530 |
|---|---|
| Doing Business As | BALBOA PHARMACY |
| Entity Type | Organization |
| Authorized Contact | EUN JOO GAK President 818-831-2090 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: CA PHY51136) |
| Enumeration Date | 2012-11-03 |
| Last Update Date | 2015-04-23 |