| NPI | 1972968204 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RANI DIBBINI VP, PIC, AO 818-970-4987 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: CA 53835) |
| Additional Taxonomies | 333600000X Pharmacy |
| 3336C0004X Pharmacy Compounding Pharmacy | |
| Enumeration Date | 2015-12-31 |
| Last Update Date | 2016-11-29 |