| NPI | 1942952122 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHIRLEY PHAM Owner/Pharmacy Manager 951-817-1005 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336L0003X Pharmacy Long Term Care Pharmacy |
| Enumeration Date | 2022-01-19 |
| Last Update Date | 2022-01-19 |