| NPI | 1184127805 |
|---|---|
| Doing Business As | PHOENIX PHARMACY |
| Entity Type | Organization |
| Authorized Contact | FUNG-WAH LAM President 213-482-0644 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336L0003X Pharmacy, Long Term Care Pharmacy (Licence: CA 55401) |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2018-03-09 |
| Last Update Date | 2021-06-22 |