| NPI | 1114532231 |
|---|---|
| Doing Business As | PRIME RX SAN GABRIEL |
| Entity Type | Organization |
| Authorized Contact | DONALD HAN CEO 626-656-6939 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2020-09-15 |
| Last Update Date | 2022-11-04 |