| NPI | 1073505392 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NANCY M ASAI Pharmacist Owner 559-272-2650 |
| Organization Subpart ? | No |
| Primary Taxonomy | 333600000X Pharmacy (Licence: CA PHY 45569) |
| Additional Taxonomies | 332BP3500X Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition (Licence: CA PHY 45569) |
| 332BN1400X Durable Medical Equipment & Medical Supplies, Nursing Facility Supplies (Licence: CA PHY 45569) | |
| 183500000X Pharmacist (Licence: CA PHY 455569) | |
| Enumeration Date | 2005-08-22 |
| Last Update Date | 2020-08-22 |