| NPI | 1457895872 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KWAKU Y AGYEMAN Pharmacist 909-255-6584 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: CA RPH 71925) |
| Enumeration Date | 2016-12-05 |
| Last Update Date | 2016-12-05 |