| NPI | 1629527254 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GLORIA KO Pharmacist 626-797-1163 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: CA 73306) |
| Enumeration Date | 2016-09-23 |
| Last Update Date | 2016-09-23 |