Organization
EARTH VILLAGE PHARMACY INC
Active
Other names
EARTH VILLAGE PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JANICE E JANG (PRESIDENT/PIC)
(714) 228-9212
Entity
Organization
Contact information
Practice address
5161 BEACH BLVD, UNIT #C, BUENA PARK, CA 90621-1171
(714) 228-9212
(714) 228-9217
Mailing address
5161 BEACH BLVD, UNIT #C, BUENA PARK, CA 90621-1171
(714) 228-9212
(714) 228-9217
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Enumeration date
10/30/2013
Last updated
08/21/2014
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