# THEO PHARMACEUTICALS, INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** MDRx Compounding Pharmacy
- **Organization subpart:** No

## Provider details

- **NPI number:** 1811317936
- **Authorized official:** DR. JACQUELINE T NGUYEN PHARM.D. (PRESIDENT)
- **Authorized official phone:** (800) 567-7878

## Contact information

- **Practice address:** 18682 BEACH BLVD STE 130, HUNTINGTON BEACH, CA 92648-2094
- **Practice address phone:** (800) 567-7878
- **Practice address fax:** (866) 638-6246
- **Mailing address:** 18682 BEACH BLVD STE 130, HUNTINGTON BEACH, CA 92648-2094
- **Mailing address phone:** (800) 567-7878
- **Mailing address fax:** (866) 638-6246

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1835P0018X | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist | 50255 | CA | Yes |
| 1835P1200X | Pharmacotherapy Pharmacist | 50255 | CA | — |
| 305S00000X | Point of Service | 50255 | CA | — |

## Other

- **Enumeration date:** 04/16/2014
- **Last updated:** 04/16/2014