| NPI | 1811034200 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RONALD YOUNG-SOARES Pharmacist In Charge 562-869-0965 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Enumeration Date | 2007-02-01 |
| Last Update Date | 2011-01-07 |