| NPI | 1992871206 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARTHA TUMBAN Pharmacist In Charge 323-752-1692 |
| Organization Subpart ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: CA 48238) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: CA 21317) |
| Enumeration Date | 2006-11-28 |
| Last Update Date | 2008-11-25 |