| NPI | 1871091926 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TOM T PHUNG President/CEO 714-399-8960 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: CA PHY55878) |
| Enumeration Date | 2018-01-23 |
| Last Update Date | 2019-01-15 |