| NPI | 1588937478 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NINA TRAN Pharmacist 949-257-3748 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: CA PHY50751) |
| Additional Taxonomies | 3336C0004X Pharmacy Compounding Pharmacy |
| 3336C0002X Pharmacy Clinic Pharmacy | |
| 333600000X Pharmacy | |
| Enumeration Date | 2012-02-23 |
| Last Update Date | 2016-08-12 |