Organization
MESA PHARMACY
Active
Organization
MESA PHARMACY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MYTU DO (OWNER)
(714) 425-2706
Entity
Organization
Contact information
Practice address
14085 NEWPORT AVE, TUSTIN, CA 92780-5172
(714) 505-2231
(714) 505-2235
Mailing address
14085 NEWPORT AVE, TUSTIN, CA 92780-5172
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
PHY47404
CA
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5618244
OTHER ID NUMBER-COMMERCIAL NUMBER
—
Enumeration date
07/30/2006
Last updated
09/11/2025
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