| NPI | 1962937136 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANH DO Pharmacist 714-848-1522 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: CA RPH 51347) |
| Additional Taxonomies | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: NV 15088) |
| Enumeration Date | 2017-04-26 |
| Last Update Date | 2017-04-26 |