| NPI | 1902051774 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LETU THI PHO Pharmacist In Charge 714-542-8865 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: CA PHY 43967) |
| Enumeration Date | 2008-11-20 |
| Last Update Date | 2008-11-20 |