| NPI | 1275625881 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHAU NGOC THANH PHAN President/Pharmacist In Charge 714-899-1111 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| 3336S0011X Pharmacy Specialty Pharmacy | |
| Enumeration Date | 2006-09-29 |
| Last Update Date | 2022-12-12 |