| NPI | 1487802971 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PHIEU LAM Pharmacist 916-422-5675 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: CA PHY42189) |
| Enumeration Date | 2008-09-09 |
| Last Update Date | 2008-09-09 |