| NPI | 1477442879 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VU TRAN DINH Manager/Pharmacist In Charge 661-949-5877 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Enumeration Date | 2025-06-30 |
| Last Update Date | 2026-04-07 |