| NPI | 1568814630 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALYSSA TAMURA Pharmacist 909-573-0123 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: CA 53932) |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2016-07-12 |
| Last Update Date | 2026-02-04 |