Organization
TUSTIN PHARMACY, INC.
Active
Other names
Tustin Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
ARCHANA VACHHANI (CEO/SEC./DIR.)
(562) 569-0522
Entity
Organization
Contact information
Practice address
13400 NEWPORT AVE, TUSTIN, CA 92780-3753
(714) 731-1344
(714) 731-7363
Mailing address
13400 NEWPORT AVE, TUSTIN, CA 92780-3753
(714) 731-1344
(714) 731-7363
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
—
—
3336C0003X
Community/Retail Pharmacy
PHY53356
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2163673
PK
—
Enumeration date
08/30/2016
Last updated
02/18/2025
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