| NPI | 1265699219 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HUE KIM VO Pharmacist 916-454-0168 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: CA PHY36774) |
| Enumeration Date | 2008-05-19 |
| Last Update Date | 2008-05-19 |