Organization
CHAPMAN MEDICAL OUTPATIENT PHARMACY
Active
Other names
Chapman Medical Outpatient Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
LOANNE KIM DO (OWNER)
(714) 628-0100
Entity
Organization
Contact information
Practice address
2617 E CHAPMAN AVE STE 111, ORANGE, CA 92869-3231
(714) 628-0100
(714) 628-0101
Mailing address
2617 E CHAPMAN AVE STE 111, ORANGE, CA 92869-3231
(714) 628-0100
(714) 628-0101
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
53863
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2154983
PK
—
Enumeration date
11/09/2015
Last updated
02/10/2016
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