| NPI | 1972928786 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDREA B BLACKBIRD CFO 310-664-7941 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: CA 51532) |
| Enumeration Date | 2014-03-03 |
| Last Update Date | 2025-04-05 |