Organization
FULLERTON MEDICAL PHARMACY INC
Active
Other names
Fullerton Medical Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
INSEEK HAM (HEAD PHARMACIST/OWNER)
(714) 992-4908
Entity
Organization
Contact information
Practice address
1401 S BROOKHURST RD, STE 101, FULLERTON, CA 92833-4471
(714) 992-4908
(714) 992-2554
Mailing address
1401 S BROOKHURST RD, STE 101, FULLERTON, CA 92833-4471
(714) 992-4908
(714) 992-2554
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
50547
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2129447
PK
—
05
—
6513510001
—
CA
Enumeration date
03/10/2008
Last updated
11/17/2014
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