| NPI | 1083983043 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PENAH DADAYAN Pharmacy Supervisor 714-671-3161 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: CA 62765) |
| Enumeration Date | 2011-12-21 |
| Last Update Date | 2011-12-21 |