| NPI | 1962491480 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS CHAN Pharmacist In Charge 626-573-4513 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Enumeration Date | 2005-10-18 |
| Last Update Date | 2022-06-07 |