| NPI | 1124176003 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LILY LEE Pharmacist In Charge 415-833-8652 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0002X Pharmacy Clinic Pharmacy (Licence: CA PHY44496) |
| Additional Taxonomies | 3336C0003X Pharmacy Community/Retail Pharmacy |
| Enumeration Date | 2007-01-08 |
| Last Update Date | 2020-08-22 |