| NPI | 1063760734 |
|---|---|
| Former Legal Business Name | NONE |
| Entity Type | Organization |
| Authorized Contact | HUU S. TIEU President/CEO 559-781-0658 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0004X Pharmacy, Compounding Pharmacy |
| Enumeration Date | 2012-08-28 |
| Last Update Date | 2012-08-28 |