| NPI | 1285003442 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TRIET MINH NGUYEN Pharmacist 858-610-3662 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: CA 73567) |
| Enumeration Date | 2015-09-17 |
| Last Update Date | 2015-09-17 |