| NPI | 1043322035 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WAYNE SIU Owner 818-409-8392 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: CA PHY38258) |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2017-03-29 |