| NPI | 1851470702 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRENT Q. LUU Vice President 916-372-8886 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: CA H 145299) |
| Additional Taxonomies | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: CA PHY 46974) |
| Enumeration Date | 2006-11-03 |
| Last Update Date | 2025-09-11 |