Organization
FRESH RX LLC
Active
Other names
Fresh Wellness Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
ZAW THURA (OWNER)
(626) 295-2933
Entity
Organization
Contact information
Practice address
18417 COLIMA RD, ROWLAND HEIGHTS, CA 91748-2898
(626) 295-2933
Mailing address
18417 COLIMA RD, ROWLAND HEIGHTS, CA 91748-2898
(626) 295-2933
(626) 550-1190
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
CA1194369777
—
CA
Enumeration date
11/06/2019
Last updated
02/19/2021
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