| NPI | 1548271034 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DIANA NGUYEN Pharmacist Owner 714-547-4473 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: CA PHY43643) |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2006-08-10 |
| Last Update Date | 2017-04-26 |