| NPI | 1902811524 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUNELYN BAUTISTA President 562-420-1303 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy |
| Additional Taxonomies | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: CA PHY36892) |
| Enumeration Date | 2006-07-30 |
| Last Update Date | 2024-11-12 |