| NPI | 1689742058 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ISAAC LEE Owner 323-231-8992 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: CA PHY40007) |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2006-12-01 |
| Last Update Date | 2021-01-07 |