| NPI | 1992820161 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FREDERICK CHAN President 909-802-8868 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: CA PHY38295) |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2007-03-20 |
| Last Update Date | 2007-09-12 |