Organization
FOUNTAIN VALLEY CANCER CENTER PHARMACY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARC LOUIS HORWITZ R.PH. (PRESIDENT PHARMACIST IN CHARGE)
(714) 979-3784
Entity
Organization
Contact information
Practice address
11190 WARNER AVE, SUITE 111, FOUNTAIN VALLEY, CA 92708-4019
(714) 979-3784
(714) 436-9217
Mailing address
11190 WARNER AVE, SUITE 111, FOUNTAIN VALLEY, CA 92708-4019
(714) 979-3784
(714) 436-9217
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PHY43274
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PHA432740
—
CA
Enumeration date
01/15/2007
Last updated
04/01/2011
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