| NPI | 1780997619 |
|---|---|
| Doing Business As | STATION PHARMACY |
| Entity Type | Organization |
| Authorized Contact | ELEANOR FAM MAI KONG President/PIC 310-892-0468 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: CA PHY 50343) |
| Additional Taxonomies | 333600000X Pharmacy (Licence: CA PHY 50343) |
| Enumeration Date | 2010-07-20 |
| Last Update Date | 2015-02-03 |