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Organization

MIXWELL PHARMACY LLC

Active
Other names
Mixwell Pharmacy
Organization subpart
No

Provider details

NPI number
Authorized official
LINDA THAI PUNGPRAVAT PHARMD (PHARMACIST-IN-CHARGE)
(626) 688-5709
Entity
Organization

Contact information

Practice address
13788 ROSWELL AVE STE 158, CHINO, CA 91710-1409
(909) 378-7301
(909) 378-7071
Mailing address
13788 ROSWELL AVE STE 158, CHINO, CA 91710-1409
(909) 378-7301
(909) 378-7071

Taxonomy

Speciality
Code
Description
License number
State
3336C0004X
Compounding Pharmacy
Primary

Other

Enumeration date
08/05/2025
Last updated
08/05/2025
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