| NPI | 1740927029 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BILL LOC NGUYEN PIC 714-414-9475 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Additional Taxonomies | 183500000X Pharmacist |
| Enumeration Date | 2022-05-17 |
| Last Update Date | 2022-05-17 |