Organization
KIM-OANH THI TRAN
Active
Other names
KIM PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
KIM OANH TRAN (OWNER/PIC)
(714) 775-6677
Entity
Organization
Contact information
Practice address
14536 BROOKHURST ST, STE 101, WESTMINSTER, CA 92683-5787
(714) 775-6677
(714) 775-6595
Mailing address
14536 BROOKHURST ST, STE 101, WESTMINSTER, CA 92683-5787
(714) 775-6677
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PHY40306
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2000758
PK
—
05
—
PHA403060
—
CA
Enumeration date
02/13/2008
Last updated
06/16/2015
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