| NPI | 1336293752 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAROLINE LE NGUYEN Pharmacist In Charge 714-531-8275 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: CA PHY 45764) |
| Enumeration Date | 2007-01-23 |
| Last Update Date | 2020-08-22 |