NPI | 1396204095 |
---|---|
Doing Business As | NORDAHL PHARMACY |
Entity Type | Organization |
Authorized Contact | TUAN Q. VU President/PIC 760-501-0030 |
Organization Subpart ? | No |
Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
Additional Taxonomies | 3336C0004X Pharmacy, Compounding Pharmacy |
Enumeration Date | 2019-03-13 |
Last Update Date | 2022-01-31 |