NPI | 1992710545 |
---|---|
Doing Business As | COOVER PHARMACY |
Entity Type | Organization |
Authorized Contact | FARIBORZ MASSOUDI Owner 310-833-2575 |
Organization Subpart ? | No |
Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: CA PHY45471) |
Additional Taxonomies | 333600000X Pharmacy |
3336L0003X Pharmacy, Long Term Care Pharmacy | |
Enumeration Date | 2006-07-30 |
Last Update Date | 2018-07-19 |