PHUONG TA

LAKEWOOD, CA
NPI1215591235
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy183500000X Pharmacist
(Licence: CA  69563)
Enumeration Date2019-04-24
Last Update Date2019-04-24
Business Address
PHUONG TA
6510 SOUTH ST
LAKEWOOD, CA 90713-1714
Phone number: 562-867-1715
Mailing Address
PHUONG TA
6510 SOUTH ST
LAKEWOOD, CA 90713-1714
Phone number: 562-867-1715