| NPI | 1356879787 |
|---|---|
| Doing Business As | 986 PHARMACY #8006 |
| Entity Type | Organization |
| Authorized Contact | KHANH-LONG THAI CEO 818-933-2010 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Enumeration Date | 2017-05-30 |
| Last Update Date | 2026-04-02 |