| NPI | 1972615987 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JASMINE NGUYEN Owner 360-450-9194 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: OR RP-0000237-CS) |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2022-03-23 |