| NPI | 1730461740 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MYHANG BACH Pharmacy Manager 805-483-5635 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: CA 50758) |
| Enumeration Date | 2011-09-15 |
| Last Update Date | 2011-09-15 |