| NPI | 1245604792 |
|---|---|
| Doing Business As | 986 PHARMACY |
| Entity Type | Organization |
| Authorized Contact | KHANH-LONG THAI Vice President 909-596-6168 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: CA PHY53763) |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2015-11-20 |
| Last Update Date | 2016-02-02 |