Organization
MAILAN HERITAGE PHARMACY
Active
Organization
MAILAN HERITAGE PHARMACY
Active
Other names
Mailan Heritage Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
PHUONG THI NGOC PHAM PHARM D. (PIC/CEO)
(714) 899-4960
Entity
Organization
Contact information
Practice address
14441 BEACH BLVD, STE 108, WESTMINSTER, CA 92683
(714) 899-4960
(714) 876-6011
Mailing address
14441 BEACH BLVD, STE 108, WESTMINSTER, CA 92683
(714) 899-4960
(714) 876-6011
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PHY50316
CA
Other
Enumeration date
09/05/2010
Last updated
08/01/2019
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