| NPI | 1508125246 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HENRY TRUONG Pharmacist In Charge 650-312-1342 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy |
| Additional Taxonomies | 251F00000X Home Infusion (Licence: CA 100775) |
| Enumeration Date | 2012-05-15 |
| Last Update Date | 2016-04-18 |