| NPI | 1346796422 |
|---|---|
| Doing Business As | 986 PHARMACY |
| Entity Type | Organization |
| Authorized Contact | QUANG THAI CEO / Pharmacist In Charge 626-456-3862 |
| Organization Subpart ? | No |
| Primary Taxonomy | 333600000X Pharmacy (Licence: CA PHY53725) |
| Additional Taxonomies | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Enumeration Date | 2016-08-29 |
| Last Update Date | 2016-11-22 |