Organization
DREYFUS ENTERPRISES
Active
Other names
Moulton Plaza Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GARY A DREYFUS (PRESIDENT)
(949) 768-5700
Entity
Organization
Contact information
Practice address
23665 MOULTON PKWY, STE A, LAGUNA HILLS, CA 92653-1937
(949) 768-5700
(949) 768-1359
Mailing address
23665 MOULTON PKWY, STE A, LAGUNA HILLS, CA 92653-1937
(949) 768-5700
(949) 768-1359
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
819437
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PHA194370
—
CA
Enumeration date
06/28/2005
Last updated
08/22/2020
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