| NPI | 1811469372 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER K. HAN Managing Member 980-892-0700 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2018-12-21 |
| Last Update Date | 2020-08-10 |