Organization
MAEVELLE LLC
Active
Other names
ISLAND PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LINDA MAHLMANN PHARM D (MEMBER/PIC)
(949) 640-0455
Entity
Organization
Contact information
Practice address
2095 SAN JOAQUIN HILLS RD, NEWPORT BEACH, CA 92660-6505
(949) 640-0455
(949) 209-5869
Mailing address
2095 SAN JOAQUIN HILLS RD, NEWPORT BEACH, CA 92660-6505
(949) 640-0455
(949) 209-5869
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
CA
Other
Enumeration date
04/04/2013
Last updated
04/04/2013
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