| NPI | 1003943739 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAYMOND WONG Pharmacist 626-912-3311 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: CA PHY35041) |
| Enumeration Date | 2007-02-28 |
| Last Update Date | 2015-05-28 |