Organization
POPULAR MEDICAL PHARMACY
Active
Other names
POPULAR MEDICAL PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
DIANA NGUYEN (PHARMACIST OWNER)
(714) 547-4473
Entity
Organization
Contact information
Practice address
420 S BRISTOL ST, SANTA ANA, CA 92703-4527
(714) 547-4473
(714) 547-6433
Mailing address
420 S BRISTOL ST, SANTA ANA, CA 92703-4527
(714) 547-4473
(714) 547-6433
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PHY43643
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2004982
PK
—
05
—
PHA436430
—
CA
Enumeration date
08/10/2006
Last updated
04/26/2017
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