NPI | 1336113489 |
---|---|
Entity Type | Organization |
Authorized Contact | VEENA CHARU President/ Owner 714-999-1465 |
Organization Subpart ? | No |
Primary Taxonomy | 174400000X Specialist (Licence: CA A45465) |
Additional Taxonomies | 332900000X Non-Pharmacy Dispensing Site |
Enumeration Date | 2006-02-15 |
Last Update Date | 2023-01-30 |