| NPI | 1174179030 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN KONG CEO 626-348-8930 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy |
| Additional Taxonomies | 333600000X Pharmacy |
| 3336C0004X Pharmacy Compounding Pharmacy | |
| Enumeration Date | 2019-08-15 |
| Last Update Date | 2023-09-20 |