| NPI | 1629528880 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAN DUONG Pharmacist 505-730-3769 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QX0200X Clinic/Center, Oncology (Licence: CA rph 47371) |
| Enumeration Date | 2016-10-11 |
| Last Update Date | 2016-10-11 |