| NPI | 1083027114 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VU NGUYEN Pharmacist 267-516-3155 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: PA RP443662) |
| Enumeration Date | 2014-06-06 |
| Last Update Date | 2014-06-06 |