| NPI | 1881040863 |
|---|---|
| Doing Business As | KEN PHARMACY |
| Entity Type | Organization |
| Authorized Contact | SUKEN JONG Owner 909-579-0719 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: CA PHY54391) |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2016-05-10 |
| Last Update Date | 2016-07-05 |