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Organization
TYDUS GROUP
Active
Organization
TYDUS GROUP
Active
Other names
BRIGHTSIDE SPECIALTY PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TAN PHAM PHARMACY (SECRETARY/PIC)
(714) 707-5115
Entity
Organization
Contact information
Practice address
431 N TUSTIN AVE STE 431-C, SANTA ANA, CA 92705-3821
(714) 707-5115
(714) 551-6822
Mailing address
431 N TUSTIN AVE STE 431-C, SANTA ANA, CA 92705-3821
(714) 707-5115
(714) 551-6822
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
57437
BOARD OF PHARMACY PERMIT
CA
Enumeration date
10/02/2019
Last updated
10/02/2019
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