| NPI | 1760575195 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KYUSANG LEE Owner And Pharmacist 949-640-6564 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: CA PHY41432) |
| Additional Taxonomies | 333600000X Pharmacy |
| 3336C0004X Pharmacy Compounding Pharmacy | |
| Enumeration Date | 2006-09-30 |
| Last Update Date | 2017-03-20 |