| NPI | 1902251945 |
|---|---|
| Doing Business As | 986 PHARMACY |
| Entity Type | Organization |
| Authorized Contact | VINCENT LY CEO/Pharmacist In Charge 626-672-9220 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: CA PHY54380) |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2016-04-27 |
| Last Update Date | 2021-02-03 |