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Organization
TUSTIN PREMIER PHARMACY INC
Active
Organization
TUSTIN PREMIER PHARMACY INC
Active
Other names
Tustin Premier Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MARY IBRAHIM (OWNER)
(714) 790-4085
Entity
Organization
Contact information
Practice address
217 S TUSTIN ST, ORANGE, CA 92866-2321
(714) 790-4085
(714) 790-4086
Mailing address
217 S TUSTIN ST, ORANGE, CA 92866-2321
(714) 790-4085
(714) 790-4086
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Enumeration date
10/26/2018
Last updated
10/26/2018
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