| NPI | 1114093879 |
|---|---|
| Doing Business As | 986 PHARMACY #8037 |
| Entity Type | Organization |
| Authorized Contact | KHANH-LONG THAI CEO 626-674-6718 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Enumeration Date | 2006-11-27 |
| Last Update Date | 2025-08-15 |