| NPI | 1619306578 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT LEE Supervisor 714-671-3161 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: CA 69424) |
| Enumeration Date | 2013-11-01 |
| Last Update Date | 2013-11-01 |