| NPI | 1780440669 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEJING GUO CEO 949-302-4258 |
| Organization Subpart ? | No |
| Primary Taxonomy | 333600000X Pharmacy |
| Additional Taxonomies | 3336C0003X Pharmacy Community/Retail Pharmacy |
| Enumeration Date | 2024-02-27 |
| Last Update Date | 2024-02-27 |