Organization
986 INFUSION PHARMACY #1 INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DANNY THAI PHARM.D. (CEO)
(626) 456-4132
Entity
Organization
Contact information
Practice address
4420 E MIRALOMA AVE STE F, ANAHEIM, CA 92807-1838
(714) 701-1192
(714) 701-1195
Mailing address
4420 E MIRALOMA AVE STE F, ANAHEIM, CA 92807-1838
(714) 701-1192
(714) 701-1195
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Enumeration date
07/03/2019
Last updated
07/03/2019
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