| NPI | 1659699494 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VIVIAN ONG Member 606-723-0265 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: KY P07394) |
| Enumeration Date | 2010-05-04 |
| Last Update Date | 2018-09-12 |