Organization
CAREMORE ANAHEIM MTM PHARMA INC
Active
Other names
MTM PHARMACY V
Organization subpart
No
Provider details
NPI number
Authorized official
TINA TUYET QUACH-TRAN PHARM D (PRESIDENT/CEO)
(714) 613-1971
Entity
Organization
Contact information
Practice address
1172 N EUCLID ST, ANAHEIM, CA 92801-1900
(714) 613-1971
(714) 613-1975
Mailing address
1172 N EUCLID ST, ANAHEIM, CA 92801-1900
(714) 613-1971
(714) 613-1975
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PHY57945
BOARD OF PHARMACY
CA
Enumeration date
06/09/2017
Last updated
05/19/2021
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