NPI | 1962168740 |
---|---|
Doing Business As | VERMONT GALLERIA PHARMACY |
Entity Type | Organization |
Authorized Contact | KYUNGJOO KOO Pharmacist In Charge 818-279-5407 |
Organization Subpart ? | No |
Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
Enumeration Date | 2021-11-16 |
Last Update Date | 2021-11-16 |