| 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 |