| NPI | 1679016018 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRIAN HOANG Pharmacist/Owner 408-239-9622 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: CA 55264) |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2016-12-01 |
| Last Update Date | 2017-03-21 |