Organization
MIKU PHARMACY INC
Active
Other names
Oso Medical Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
AMANDA TA (OWNER)
(949) 582-3633
Entity
Organization
Contact information
Practice address
26902 OSO PKWY, STE 160, MISSION VIEJO, CA 92691-5801
(949) 582-3633
(949) 582-8264
Mailing address
26902 OSO PKWY, STE 160, MISSION VIEJO, CA 92691-5801
(949) 582-3633
(949) 582-8264
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PHY53671
CA
3336L0003X
Long Term Care Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1215076260
—
CA
01
—
CB259629
MASS IMMUNIZATION ROSTER BILLER - NORIDIAN
CA
Enumeration date
02/06/2007
Last updated
09/19/2025
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