| NPI | 1003201328 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN DANG Pharmacy Manager 714-839-1267 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: CA 53628) |
| Additional Taxonomies | 3336L0003X Pharmacy Long Term Care Pharmacy |
| 332B00000X Durable Medical Equipment & Medical Supplies | |
| 3336S0011X Pharmacy Specialty Pharmacy | |
| 333600000X Pharmacy | |
| Enumeration Date | 2015-04-02 |
| Last Update Date | 2022-11-29 |