| NPI | 1043685159 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VINCENT TAI M DANG PIC 661-836-7557 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: CA 53659) |
| Enumeration Date | 2015-12-01 |
| Last Update Date | 2026-02-03 |