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Organization
TUSTIN COMMUNITY PHARMACY INC
Active
Organization
TUSTIN COMMUNITY PHARMACY INC
Active
Other names
Villa Park Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ADAM BOLLENBACH PHARM.D. (PHARMACIST-IN-CHARGE, VICE PRES.)
(714) 998-3030
Entity
Organization
Contact information
Practice address
17821 SANTIAGO BLVD, VILLA PARK, CA 92861-4133
(714) 998-3030
(714) 998-6060
Mailing address
17821 SANTIAGO BLVD, VILLA PARK, CA 92861-4133
(714) 998-3030
(714) 998-6060
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PHY46551
CA
Other
Enumeration date
01/30/2007
Last updated
08/22/2020
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