Organization
ANAHEIM HILLS MEDICAL PHARMACY
Active
Other names
ANAHEIM HILLS MEDICAL PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
MOJGAN REZAEI PHARM.D (OWNER)
(714) 279-1111
Entity
Organization
Contact information
Practice address
500 S ANAHEIM HILLS RD STE 100, STE 100, ANAHEIM, CA 92807-4761
(714) 279-1111
(714) 279-1115
Mailing address
500 S ANAHEIM HILLS RD STE 100, STE 100, ANAHEIM, CA 92807
(714) 279-1111
(714) 279-1115
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
43794
CA
3336C0004X
Compounding Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1991557
PK
—
05
—
PHA43794
—
CA
Enumeration date
07/30/2006
Last updated
07/19/2018
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