| NPI | 1740374149 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GIAO NGUYEN Pharmacist Owner 209-544-6155 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: CA PHY41084) |
| Enumeration Date | 2006-10-03 |
| Last Update Date | 2020-08-22 |