| NPI | 1952124166 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELLIE CHAU THOAI DOAN Vice President/PIC 714-890-3174 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336L0003X Pharmacy Long Term Care Pharmacy |
| Enumeration Date | 2024-11-05 |
| Last Update Date | 2024-11-27 |