| NPI | 1265965271 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LOC TAN TRAN Member/PIC 714-550-9303 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: CA 55528) |
| Enumeration Date | 2017-04-06 |
| Last Update Date | 2017-04-06 |