| NPI | 1245225010 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | XENGXUE YANG Pharmacist In Charge 559-734-6747 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: CA PHY32570) |
| Additional Taxonomies | 3336C0004X Pharmacy Compounding Pharmacy (Licence: CA PHY 32570) |
| 332BN1400X Durable Medical Equipment & Medical Supplies Nursing Facility Supplies (Licence: CA PHY32570) | |
| 332B00000X Durable Medical Equipment & Medical Supplies (Licence: CA PHY32570) | |
| 332BP3500X Durable Medical Equipment & Medical Supplies Parenteral & Enteral Nutrition (Licence: CA PHY32570) | |
| 333600000X Pharmacy (Licence: CA PHY32570) | |
| 1835N1003X Pharmacist Nutrition Support (Licence: CA PHY32570) | |
| Enumeration Date | 2005-09-16 |
| Last Update Date | 2022-02-15 |