| NPI | 1962158758 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIROLOS ANDRAWOS Director 626-383-5711 |
| Organization Subpart ? | No |
| Primary Taxonomy | 333600000X Pharmacy |
| Additional Taxonomies | 3336C0002X Pharmacy, Clinic Pharmacy |
| 3336C0003X Pharmacy, Community/Retail Pharmacy | |
| 3336I0012X Pharmacy, Institutional Pharmacy | |
| 3336L0003X Pharmacy, Long Term Care Pharmacy | |
| 3336M0002X Pharmacy, Mail Order Pharmacy | |
| 3336S0011X Pharmacy, Specialty Pharmacy | |
| Enumeration Date | 2022-03-01 |
| Last Update Date | 2022-03-02 |