| NPI | 1376660720 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LUCIE NGUYEN Pharmacist In Charge 661-272-6970 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Enumeration Date | 2007-03-23 |
| Last Update Date | 2025-06-20 |