Organization
MED-PROS PHARMACY INC
Active
Organization
MED-PROS PHARMACY INC
Active
Other names
Med-Pros Pharmacy & Medical Supplies
Organization subpart
No
Provider details
NPI number
Authorized official
LE PHAM (PRESIDENT / CEO)
(714) 638-4843
Entity
Organization
Contact information
Practice address
12582 GARDEN GROVE BLVD, GARDEN GROVE, CA 92843-1907
(714) 638-4843
(714) 638-2932
Mailing address
12582 GARDEN GROVE BLVD, GARDEN GROVE, CA 92843-1907
(714) 638-4843
(714) 638-2932
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PHY50514
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2128553
PK
—
Enumeration date
01/28/2011
Last updated
04/05/2017
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