| NPI | 1932482429 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FRANCES TAN Pharmacist 408-263-5550 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: CA 52017) |
| Enumeration Date | 2011-09-21 |
| Last Update Date | 2011-09-21 |