Organization
IET INDUSTRY, INC.
Active
Other names
Prime Formula Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
YING ANNIE LIN PHARM.D (PHARMACIST IN CHARGE)
(626) 581-8555
Entity
Organization
Contact information
Practice address
18397 COLIMA RD, ROWLAND HEIGHTS, CA 91748-2749
(626) 581-8555
(626) 851-8556
Mailing address
18397 COLIMA RD, ROWLAND HEIGHTS, CA 91748-2749
(626) 581-8555
(626) 851-8556
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PHY55690
CA
Other
Enumeration date
06/02/2017
Last updated
07/21/2022
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