Organization
PMD PHARMACY LLC
Active
Other names
PMD Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
PHUONG TRAN (CEO)
(714) 548-1745
Entity
Organization
Contact information
Practice address
44469 10TH ST W, LANCASTER, CA 93534-3324
(661) 579-2099
(661) 726-2079
Mailing address
44469 10TH ST W, SUITE B, LANCASTER, CA 93534-3324
(661) 579-2099
(661) 726-2073
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PHY53818
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2157573
PK
—
Enumeration date
07/07/2015
Last updated
01/17/2017
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