| NPI | 1790464352 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PHU TRINH Director Of Pharmacy Operations 833-428-7284 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Enumeration Date | 2023-07-12 |
| Last Update Date | 2023-07-12 |