| NPI | 1316989957 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BINH NGUYEN Owner 714-468-6237 |
| Organization Subpart ? | No |
| Primary Taxonomy | 333600000X Pharmacy (Licence: CA PHY47334) |
| Additional Taxonomies | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| 3336L0003X Pharmacy, Long Term Care Pharmacy | |
| Enumeration Date | 2006-06-11 |
| Last Update Date | 2020-08-22 |