| NPI | 1295814960 |
|---|---|
| Doing Business As | 986 PHARMACY #8014 |
| Entity Type | Organization |
| Authorized Contact | ANH T THAI Pharmacist In Charge 626-288-8515 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2006-11-03 |
| Last Update Date | 2023-06-14 |