| NPI | 1992160279 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YONG LI CEO 267-690-1211 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: PA PP482610) |
| Additional Taxonomies | 333600000X Pharmacy |
| 3336C0004X Pharmacy Compounding Pharmacy | |
| Enumeration Date | 2015-12-30 |
| Last Update Date | 2017-05-01 |