| NPI | 1073085452 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PHUONG-UYEN HOANG TRAN Pharmacist 619-206-4066 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Enumeration Date | 2018-12-22 |
| Last Update Date | 2018-12-22 |