Organization
THE CENTER FOR COMPREHENSIVE CARE AND DIAGNOSIS OF INHERITED BLOOD DIS
Active
Other names
CIBD Pharmacy, The Center for Comprehensive Care & Diagnosis of Inherited Blood Disor
Organization subpart
No
Provider details
NPI number
Authorized official
SAMANTHA CHAN PHARM.D. (PHARMACY MANAGER)
(657) 375-0453
Entity
Organization
Contact information
Practice address
701 S PARKER ST STE 1400, ORANGE, CA 92868-4727
(949) 748-7521
(949) 748-7615
Mailing address
701 S PARKER ST STE 1400, ORANGE, CA 92868-4727
(949) 748-7521
(949) 748-7615
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PHY50396
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2128920
PK
—
Enumeration date
11/22/2010
Last updated
01/17/2023
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