Organization
PLACENTIA LINDA PHARMACY INC
Active
Other names
Placentia Linda Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
JIGNA KUMBHANI (SECRETARY)
(714) 993-3345
Entity
Organization
Contact information
Practice address
1233 E YORBA LINDA BLVD, PLACENTIA, CA 92870-3830
(714) 993-3345
Mailing address
1233 E YORBA LINDA BLVD, PLACENTIA, CA 92870-3830
(714) 993-3345
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
54626
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1073063996
—
CA
Enumeration date
10/04/2016
Last updated
05/24/2022
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