| NPI | 1427932920 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LINDA THAI PUNGPRAVAT Pharmacist In Charge 626-688-5709 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0004X Pharmacy Compounding Pharmacy |
| Enumeration Date | 2025-08-05 |
| Last Update Date | 2025-08-05 |