Organization
MOC & PATEL
Active
Other names
Heidi's Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
HEIDI MOC (PHARMACIST IN CHARGE)
(626) 333-7878
Entity
Organization
Contact information
Practice address
3150 COLIMA RD STE B, HACIENDA HEIGHTS, CA 91745-6356
(626) 333-7878
(626) 333-7171
Mailing address
3150 COLIMA RD STE B, HACIENDA HEIGHTS, CA 91745-6356
(626) 333-7878
(626) 333-7171
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PHY50684
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1396026316
—
CA
01
—
2131792
PK
—
Enumeration date
09/03/2011
Last updated
02/28/2022
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