| NPI | 1760481170 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LARRY T BUI President 510-839-7900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 333600000X Pharmacy (Licence: CA PHY47436) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: CA PHY47436) |
| Enumeration Date | 2005-07-18 |
| Last Update Date | 2020-08-22 |