| NPI | 1770860041 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LIANNE MACH-DAO Pharmacist 408-206-4283 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: CA 50012) |
| Additional Taxonomies | 333600000X Pharmacy (Licence: CA 50012) |
| Enumeration Date | 2011-11-14 |
| Last Update Date | 2011-11-14 |