| NPI | 1669613683 |
|---|---|
| Doing Business As | PALMDALE DRUGSTORE |
| Entity Type | Organization |
| Authorized Contact | JOHN THAM CEO 661-224-9317 |
| Organization Subpart ? | No |
| Primary Taxonomy | 333600000X Pharmacy (Licence: CA PENDING) |
| Enumeration Date | 2009-03-20 |
| Last Update Date | 2009-03-20 |