| NPI | 1225207764 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES SONG Owner 661-755-1632 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: CA PHY49002) |
| Enumeration Date | 2008-02-28 |
| Last Update Date | 2021-06-08 |