| NPI | 1629103569 |
|---|---|
| Doing Business As | 986 PHARMACY #8012 |
| Entity Type | Organization |
| Authorized Contact | TRACY B PHUING CEO 626-281-9913 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2007-02-22 |
| Last Update Date | 2023-07-05 |