Organization
BAN PHARMACY LLC
Active
Other names
High Desert Plaza Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
KELLY PHAM PHARMD (CEO)
(661) 200-0562
Entity
Organization
Contact information
Practice address
43839 15TH ST W STE P, LANCASTER, CA 93534-4756
(661) 200-0562
(866) 291-1447
Mailing address
43839 15TH ST W STE P, LANCASTER, CA 93534-4756
(661) 200-0562
(866) 291-1447
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
3336L0003X
Long Term Care Pharmacy
—
—
Other
Enumeration date
07/04/2023
Last updated
12/11/2023
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