| NPI | 1245671684 |
|---|---|
| Doing Business As | 986 PHARMACY #8039 |
| Entity Type | Organization |
| Authorized Contact | KHANH-LONG THAI CEO 818-308-6150 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Enumeration Date | 2013-07-15 |
| Last Update Date | 2026-02-03 |