| NPI | 1033280409 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KELLY NHUNG TUYET LUU Pharmacist In Charge 951-343-1633 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: CA PHY46716) |
| Enumeration Date | 2006-11-10 |
| Last Update Date | 2020-08-22 |