| NPI | 1962940700 |
|---|---|
| Doing Business As | CAHUENGA BLVD PHARMACY |
| Entity Type | Organization |
| Authorized Contact | SOUREN BASMADJIAN Owner / PIC 818-980-1445 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: CA PHY55532) |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2017-02-01 |
| Last Update Date | 2017-04-19 |