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 |