Organization
MEDELLA PHARMACY INC
Active
Other names
MEDELLA PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
MS. HELEN H XU PHARM D (PRESIDENT/ PHARMACIST IN CHARGE)
(626) 333-1998
Entity
Organization
Contact information
Practice address
15578 GALE AVE, HACIENDA HEIGHTS, CA 91745-1513
(626) 333-1998
(626) 333-1668
Mailing address
15578 GALE AVE, HACIENDA HEIGHTS, CA 91745-1513
(626) 333-1998
(626) 333-1668
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PHY 54163
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PHY 54163
BOARD OF PHARMACY RETAIL PERMIT
CA
Enumeration date
02/18/2016
Last updated
03/03/2016
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