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Organization

HOUSE OF MEDICINE INC

Active
Other names
DISCOUNT PHARMACY
Organization subpart
No

Provider details

NPI number
Authorized official
HAHMUD LEBADA (PRES)
(714) 520-9085
Entity
Organization

Contact information

Practice address
1150 N HARBOR BLVD, STE 136, ANAHEIM, CA 92801-2400
(714) 520-9085
(714) 517-0400
Mailing address
2530 BRENNEN WAY, FULLERTON, CA 92835-4217

Taxonomy

Speciality
Code
Description
License number
State
333600000X
Pharmacy
3336C0003X
Community/Retail Pharmacy
Primary
PHY44468
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0544266
NCPDP PROVIDER IDENTIFICATION NUMBER
05
PHA44468
CA
Enumeration date
01/18/2007
Last updated
01/13/2010
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