| NPI | 1245604792 |
|---|---|
| Doing Business As | 986 PHARMACY |
| Entity Type | Organization |
| Authorized Contact | LILIA XU CEO 909-596-6168 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336L0003X Pharmacy Long Term Care Pharmacy |
| Additional Taxonomies | 333600000X Pharmacy |
| 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: CA PHY53763) | |
| Enumeration Date | 2015-11-20 |
| Last Update Date | 2024-07-15 |