Organization
CDM PHARMACY
Active
Other names
Balboa Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JEFFREY BRIAN FORD (CEO)
(949) 673-5370
Entity
Organization
Contact information
Practice address
716 E BALBOA BLVD, NEWPORT BEACH, CA 92661-1306
(949) 673-5370
(949) 673-3600
Mailing address
716 E BALBOA BLVD, NEWPORT BEACH, CA 92661-1306
(949) 673-5370
(949) 673-3600
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Enumeration date
01/12/2007
Last updated
03/31/2020
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