| NPI | 1407230675 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MOHAMMAD HUSAM MAHMOUD Pharmacist In Charge 559-259-8454 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Enumeration Date | 2015-07-16 |
| Last Update Date | 2015-07-16 |