Organization
IET INDUSTRY, INC.
Active
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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