Organization
SPECTRUM PHARMACY
Active
Other names
Spectrum Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
TINA LI (MANAGER)
(949) 679-3388
Entity
Organization
Contact information
Practice address
18 ENDEAVOR STE 100, IRVINE, CA 92618-3180
(949) 679-3388
(949) 679-7289
Mailing address
18 ENDEAVOR STE 100, IRVINE, CA 92618-3180
(949) 679-3388
(949) 679-7289
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PHY48836
CA
3336C0004X
Compounding Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2118296
PK
—
Enumeration date
11/07/2008
Last updated
09/16/2016
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