Organization
LIFETIME VALUE PHARMACY III, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RYAN LINH LE (VICE PRESIDENT)
(714) 862-2470
Entity
Organization
Contact information
Practice address
406 W 17TH ST, SANTA ANA, CA 92706-3609
(714) 862-2470
(714) 862-2471
Mailing address
406 W 17TH ST, SANTA ANA, CA 92706-3609
(714) 862-2470
(714) 862-2471
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
51442
CA
Other
Enumeration date
07/01/2013
Last updated
02/03/2026
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