| NPI | 1972149292 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NANAZ F AMINI Pharmacist In Charge 310-231-2113 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy |
| Enumeration Date | 2019-11-21 |
| Last Update Date | 2019-11-21 |