| NPI | 1912610106 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JINHEE MOON SUH Pharmacist In Charge 714-423-0632 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Enumeration Date | 2023-01-03 |
| Last Update Date | 2024-09-11 |