Organization
RED CHIP OF NEVADA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARY ANN BARTH (CO-FOUNDER/TREASURER)
(949) 223-9828
Entity
Organization
Contact information
Practice address
18009 SKY PARK CIR STE F, IRVINE, CA 92614-6516
(949) 223-9830
(949) 861-7233
Mailing address
18009 SKY PARK CIR STE F, IRVINE, CA 92614-6516
(949) 223-9830
(949) 861-7233
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
PHY52012
CA
3336S0011X
Specialty Pharmacy
Primary
PHY52012
CA
Other
Enumeration date
10/27/2017
Last updated
10/27/2017
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