| NPI | 1962752774 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BICKIE HOANG PHAN CEO/PIC 714-797-3212 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: CA 50788) |
| Enumeration Date | 2012-09-19 |
| Last Update Date | 2012-09-19 |