| NPI | 1295857563 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TUAN MANH DOAN Owner 408-238-6319 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: CA PHY36150) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2007-04-05 |
| Last Update Date | 2008-03-20 |