| NPI | 1285059659 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THUY THI NGUYEN Pharmacist/Manager 707-453-7342 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: CA 68531) |
| Enumeration Date | 2014-02-21 |
| Last Update Date | 2014-02-21 |