| NPI | 1831299874 |
|---|---|
| Former Legal Business Name | MARY'S PHARMACY INC |
| Entity Type | Organization |
| Authorized Contact | SIMON CHAN VP 626-798-6789 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Enumeration Date | 2006-09-22 |
| Last Update Date | 2021-09-29 |