| NPI | 1902754294 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BILL LOC NGUYEN Pharmacist In Charge 714-414-9475 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336L0003X Pharmacy, Long Term Care Pharmacy |
| Enumeration Date | 2026-03-20 |
| Last Update Date | 2026-03-20 |