| NPI | 1689717175 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIEL D SU CEO 714-542-5444 |
| Organization Subpart ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: CA RPH39609) |
| Additional Taxonomies | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: CA RPH39609) |
| 332B00000X Durable Medical Equipment & Medical Supplies | |
| Enumeration Date | 2007-02-14 |
| Last Update Date | 2008-05-12 |