| NPI | 1629103239 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIM-LOAN LE PHAM Pharmacist 408-289-1522 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: CA PHY32767) |
| Enumeration Date | 2007-02-22 |
| Last Update Date | 2008-07-16 |