| NPI | 1598067613 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAMANTHA CHAN Pharmacy Manager 657-375-0453 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: CA PHY50396) |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2010-11-22 |
| Last Update Date | 2023-01-17 |