| NPI | 1184659963 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM LEE ST. LOUIS Owner 559-266-0601 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: CA PHY34598) |
| Enumeration Date | 2006-07-11 |
| Last Update Date | 2020-08-22 |