| NPI | 1093883233 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AUDRIC CHOW Owner 662-624-6561 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Additional Taxonomies | 333600000X Pharmacy (Licence: MS 01632011) |
| Enumeration Date | 2006-12-04 |
| Last Update Date | 2007-08-13 |