Organization
NTM PHARMACY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DUONG D VU (VICE PRESIDENT)
(714) 478-5704
Entity
Organization
Contact information
Practice address
2317 E ANAHEIM ST, LONG BEACH, CA 90804
(562) 621-0838
(562) 621-9020
Mailing address
2317 E ANAHEIM ST, LONG BEACH, CA 90804
(562) 621-0838
(562) 621-9020
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
PHY46249
CA
Other
Enumeration date
12/13/2005
Last updated
12/10/2009
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