| NPI | 1962576488 |
|---|---|
| Doing Business As | SUPERMARKET PHARMACY #2 |
| Entity Type | Organization |
| Authorized Contact | SANG JEON Owner/President 213-385-3321 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: CA PHY48285) |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2006-11-17 |
| Last Update Date | 2012-02-22 |