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Organization
FOUR SEASONS PHARMACY INC
Active
Organization
FOUR SEASONS PHARMACY INC
Active
Other names
PHOENIX PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
NATHAN LAM (CEO)
(714) 690-0349
Entity
Organization
Contact information
Practice address
7872 WALKER ST STE 106, LA PALMA, CA 90623-1748
(714) 690-0349
(714) 509-1278
Mailing address
7872 WALKER ST STE 106, LA PALMA, CA 90623-1748
(714) 690-0349
(714) 509-1278
Taxonomy
Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
Primary
—
NULL
Other
Enumeration date
11/02/2011
Last updated
02/12/2025
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