| NPI | 1588058382 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER TRAN Manager 626-943-7820 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: CA 52483) |
| Additional Taxonomies | 333600000X Pharmacy (Licence: CA 52483) |
| Enumeration Date | 2015-03-19 |
| Last Update Date | 2015-03-19 |