| NPI | 1891078689 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SCOTT LAM TRINH Pharmacist 714-724-1195 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NV 14360) |
| Enumeration Date | 2011-09-28 |
| Last Update Date | 2011-09-28 |