| NPI | 1780405514 |
|---|---|
| Doing Business As | 986 PHARMACY #8012 |
| Entity Type | Organization |
| Authorized Contact | TRACY B PHUONG CEO 626-399-0278 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336L0003X Pharmacy, Long Term Care Pharmacy |
| Enumeration Date | 2024-10-23 |
| Last Update Date | 2024-10-23 |