Organization
OC PHARMACY SPECIALISTS LLC
Active
Other names
Sunrise Village Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
PHUONG LAM (PHARMACIST IN CHARGE)
(714) 441-1765
Entity
Organization
Contact information
Practice address
1823 N EUCLID ST, FULLERTON, CA 92835-3343
(714) 441-1765
(714) 441-1766
Mailing address
1823 N EUCLID ST, FULLERTON, CA 92835-3343
(714) 441-1765
(714) 441-1767
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PHY55552
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2168596
PK
—
Enumeration date
03/17/2016
Last updated
04/19/2017
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