Organization
SMS AND DRUG INC
Active
Other names
IRVINE MEDICAL CENTER PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
SAU TRAN BS (PIC)
(949) 453-9789
Entity
Organization
Contact information
Practice address
16300 SAND CANYON AVE, SUITE 101, IRVINE, CA 92618-3711
(949) 453-9789
(949) 453-9235
Mailing address
16300 SAND CANYON AVE, SUITE 101, IRVINE, CA 92618-3711
(949) 453-9789
(949) 453-9235
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PHY48763
CA
3336C0004X
Compounding Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1376589762
—
CA
01
—
5617836
NCPDP PROVIDER IDENTIFICATION NUMBER
—
05
—
PHA487630
—
CA
Enumeration date
06/22/2006
Last updated
10/09/2009
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