Organization
FRIENDLY HILLS MEDICAL CENTER PHARMACY INC
Active
Other names
Bright La Mirada Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHRIS WALL PHARM.D. (PHARMACIST IN CHARGE)
(562) 777-8175
Entity
Organization
Contact information
Practice address
12675 LA MIRADA BLVD STE 100, LA MIRADA, CA 90638-2249
(562) 777-8175
(562) 777-7156
Mailing address
12675 LA MIRADA BLVD STE 100, LA MIRADA, CA 90638-2249
(562) 777-8175
(562) 777-7156
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PHY44769
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PHA447690
—
CA
Enumeration date
02/09/2007
Last updated
08/22/2020
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