# FOUR SEASONS PHARMACY INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** PHOENIX PHARMACY
- **Organization subpart:** No

## Provider details

- **NPI number:** 1750667986
- **Authorized official:** NATHAN LAM (CEO)
- **Authorized official phone:** (714) 690-0349

## Contact information

- **Practice address:** 7872 WALKER ST STE 106, LA PALMA, CA 90623-1748
- **Practice address phone:** (714) 690-0349
- **Practice address fax:** (714) 509-1278
- **Mailing address:** 7872 WALKER ST STE 106, LA PALMA, CA 90623-1748
- **Mailing address phone:** (714) 690-0349
- **Mailing address fax:** (714) 509-1278

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336L0003X | Long Term Care Pharmacy | — | NULL | Yes |

## Other

- **Enumeration date:** 11/02/2011
- **Last updated:** 02/12/2025