| NPI | 1043505357 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SIDAKA CHOAU Owner / PIC 951-302-3111 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: CA PHY55945) |
| Enumeration Date | 2011-06-14 |
| Last Update Date | 2018-03-27 |