| NPI | 1124194477 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HELEN TANG Owner 530-673-5158 |
| Organization Subpart ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: CA PHY 46339) |
| Additional Taxonomies | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: CA phy46339) |
| 332BX2000X Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies | |
| Enumeration Date | 2006-11-28 |
| Last Update Date | 2020-08-22 |