Organization
IET INDUSTRY INC
Active
Other names
PRIME FORMULA PHARMACY, Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DON HAN (PRESIDENT/CEO)
(626) 581-8555
Entity
Organization
Contact information
Practice address
18397 COLIMA RD, ROWLAND HEIGHTS, CA 91748
(626) 581-8555
(626) 581-8556
Mailing address
18397 COLIMA RD, ROWLAND HEIGHTS, CA 91748
(626) 581-8555
(626) 581-8556
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PHY55690
CA
Other
Enumeration date
02/27/2013
Last updated
04/24/2020
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