Organization
BAN PHARMACY LLC
Active
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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