| NPI | 1902329840 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THANH CONG VAN President 234-631-1173 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: FL PH30842) |
| Enumeration Date | 2017-07-23 |
| Last Update Date | 2022-07-21 |