| NPI | 1972688455 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROSTISLAV MOSHKOVICH President/Owner 818-654-0150 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2006-10-25 |
| Last Update Date | 2020-04-30 |