| NPI | 1962693234 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIEL IRWIN GELBER Managing Member 818-642-6450 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0004X Pharmacy, Compounding Pharmacy (Licence: NV PH02254) |
| Additional Taxonomies | 3336M0002X Pharmacy, Mail Order Pharmacy (Licence: NV PH02254) |
| Enumeration Date | 2007-08-02 |
| Last Update Date | 2007-08-02 |