| NPI | 1407898042 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARVIN FONG President 626-272-4373 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: CA PHY47297) |
| Enumeration Date | 2006-06-11 |
| Last Update Date | 2008-05-22 |