| NPI | 1992109458 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDY CAO Owner/Pharmacist 209-851-2162 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: CA PHY 53438) |
| Enumeration Date | 2014-10-13 |
| Last Update Date | 2022-01-05 |