| NPI | 1992319347 |
|---|---|
| Other Name | N/A |
| Entity Type | Organization |
| Authorized Contact | NARINE N/A SARGSYAN PIC 818-200-5861 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Enumeration Date | 2020-09-02 |
| Last Update Date | 2021-09-16 |