| NPI | 1720317613 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PHIEU LAM President 916-422-5675 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: CA PHY42189) |
| Additional Taxonomies | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: PHY42189) |
| Enumeration Date | 2009-12-24 |
| Last Update Date | 2013-11-20 |