| NPI | 1174347314 |
|---|---|
| Doing Business As | 986 PHARMACY #8034 |
| Entity Type | Organization |
| Authorized Contact | MAGGIE LU CFO 626-269-0239 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Enumeration Date | 2024-11-13 |
| Last Update Date | 2025-01-11 |