| NPI | 1891090601 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARTIN LE Owner/President 980-207-3267 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: NC 10884) |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2011-01-26 |
| Last Update Date | 2017-04-19 |