# AZALEA HEALTHCARE INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** 986 Pharmacy \#8012
- **Organization subpart:** No

## Provider details

- **NPI number:** 1780405514
- **Authorized official:** TRACY B PHUONG (CEO)
- **Authorized official phone:** (626) 399-0278

## Contact information

- **Practice address:** 1 E VALLEY BLVD, ALHAMBRA, CA 91801-5115
- **Practice address phone:** (626) 281-9913
- **Practice address fax:** (626) 281-9392
- **Mailing address:** 1 E VALLEY BLVD, ALHAMBRA, CA 91801-5115
- **Mailing address phone:** (626) 281-9913
- **Mailing address fax:** (626) 281-9392

## Taxonomy

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

## Other

- **Enumeration date:** 10/23/2024
- **Last updated:** 10/23/2024