| NPI | 1730776592 |
|---|---|
| Doing Business As | PHOENIX PHARMACY |
| Entity Type | Organization |
| Authorized Contact | NATHAN LAM CEO 714-690-0349 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy |
| Enumeration Date | 2020-12-28 |
| Last Update Date | 2024-11-04 |