| NPI | 1760796007 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIM A NGUYEN Pharmacy District Manager 714-745-6701 |
| Organization Subpart ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: CA 51926) |
| Enumeration Date | 2010-07-28 |
| Last Update Date | 2010-07-28 |