| NPI | 1104999119 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HUNG VIET NGUYEN Owner 408-937-4618 |
| Organization Subpart ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: CA 47826) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: CA 47826) |
| Enumeration Date | 2006-11-16 |
| Last Update Date | 2008-11-12 |