| NPI | 1578211504 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EDDIE W CHAN President & CEO 415-391-9686 |
| Organization Subpart ? | No |
| Primary Taxonomy | 333600000X Pharmacy |
| Additional Taxonomies | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2022-03-18 |
| Last Update Date | 2022-03-18 |