| NPI | 1053312439 |
|---|---|
| Doing Business As | 986 PHARMACY#8009 |
| Entity Type | Organization |
| Authorized Contact | DANNY THAI CEO 626-456-4132 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| 333600000X Pharmacy | |
| 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: CA PHY43307) | |
| Enumeration Date | 2005-08-09 |
| Last Update Date | 2021-08-02 |