Organization
SPECTRUM PHARMACY
Active
Other names
Spectrum Pharmacy-Anaheim
Organization subpart
No
Provider details
NPI number
Authorized official
NINA TRAN (PHARMACIST)
(949) 257-3748
Entity
Organization
Contact information
Practice address
1236 N MAGNOLIA AVE, ANAHEIM, CA 92801-2607
(714) 826-6246
(714) 826-1810
Mailing address
1236 N MAGNOLIA AVE, ANAHEIM, CA 92801-2607
(714) 826-6246
(714) 826-1810
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0002X
Clinic Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PHY50751
CA
3336C0004X
Compounding Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1588937478
—
CA
01
—
2133935
PK
—
Enumeration date
02/23/2012
Last updated
08/12/2016
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