Organization
TUSTIN PREMIER PHARMACY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARY IBRAHIM (PIC)
(714) 790-4085
Entity
Organization
Contact information
Practice address
217 S TUSTIN ST, ORANGE, CA 92866-2321
(714) 790-4085
Mailing address
217 S TUSTIN ST, ORANGE, CA 92866-2321
(714) 790-4085
Taxonomy
Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
Primary
—
—
Other
Enumeration date
08/15/2024
Last updated
08/15/2024
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