| NPI | 1477942407 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MIKE BUI Owner/Pharmacist 714-999-0075 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: CA 52530) |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2015-01-14 |
| Last Update Date | 2020-08-28 |