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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