NPI | 1821349341 |
---|---|
Doing Business As | SAN GABRIEL MEDICAL COMPOUNDING PHARMACY |
Entity Type | Organization |
Authorized Contact | THI DANG Owner / PIC 626-593-2428 |
Organization Subpart ? | No |
Primary Taxonomy | 3336C0004X Pharmacy Compounding Pharmacy (Licence: CA PHY51197) |
Enumeration Date | 2012-09-24 |
Last Update Date | 2015-03-30 |