| NPI | 1982749891 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | IHN HAN Pharmacist 408-247-7450 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: CA PHY30808) |
| Enumeration Date | 2007-02-20 |
| Last Update Date | 2020-08-22 |