| NPI | 1366575102 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GIAO THU NGUYEN Registered Pharmacist 209-544-6155 |
| Organization Subpart ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: CA 42460) |
| Enumeration Date | 2007-03-13 |
| Last Update Date | 2020-08-22 |