| NPI | 1992287981 |
|---|---|
| Doing Business As | LAGUNA BEACH PHARMACY |
| Entity Type | Organization |
| Authorized Contact | AMANDA TA Owner / PIC 949-494-6585 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy |
| Enumeration Date | 2018-09-05 |
| Last Update Date | 2018-09-05 |