| NPI | 1710158316 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PHILLIP LEE CHUNG Pharmacist In Charge 714-545-5455 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336S0011X Pharmacy, Specialty Pharmacy (Licence: CA PHY48962) |
| Additional Taxonomies | 3336S0011X Pharmacy, Specialty Pharmacy |
| Enumeration Date | 2008-03-21 |
| Last Update Date | 2011-09-30 |