| NPI | 1811126097 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRIS E CHUNG Owner/Treasurer 408-293-7767 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332900000X Non-Pharmacy Dispensing Site (Licence: CA A54870) |
| Enumeration Date | 2009-07-08 |
| Last Update Date | 2009-07-08 |