NPI | 1154422111 |
---|---|
Doing Business As | BALDY VISTA PHARMACY |
Entity Type | Organization |
Authorized Contact | JOHNNY WONG President 909-762-7852 |
Organization Subpart ? | No |
Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
Enumeration Date | 2006-09-25 |
Last Update Date | 2019-07-17 |