| NPI | 1053378760 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAMMY NGUYEN Owner/PIC 619-287-1206 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy |
| Additional Taxonomies | 333600000X Pharmacy (Licence: CA PHY43530) |
| Enumeration Date | 2006-04-27 |
| Last Update Date | 2025-08-22 |