| NPI | 1962007146 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HAIKOUHI HEIDI KAVOUKJIAN Vice President 323-666-0414 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Additional Taxonomies | 332BP3500X Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition |
| 332BX2000X Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies | |
| 3336L0003X Pharmacy, Long Term Care Pharmacy | |
| Enumeration Date | 2020-12-03 |
| Last Update Date | 2020-12-08 |