| NPI | 1548506777 |
|---|---|
| Doing Business As | AQUA PHARMACY |
| Entity Type | Organization |
| Authorized Contact | PHUONG NGUYEN President/Pharmacist In Charge 714-299-5998 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: CA PHY51162) |
| Enumeration Date | 2012-12-16 |
| Last Update Date | 2015-11-09 |