Organization
MTM PHARMA INC
Active
Other names
PROFESSIONAL PHARMACY SANTA ANA
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DENISE T LE RPH (PRESIDENT/PIC)
(714) 278-4800
Entity
Organization
Contact information
Practice address
2339 W 1ST ST, SANTA ANA, CA 92703-3503
(714) 278-4800
(714) 278-4769
Mailing address
2339 W 1ST ST, SANTA ANA, CA 92703-3503
(714) 278-4800
(714) 278-4769
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PHY 51823
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1659797421
—
CA
01
—
PHY51823
BOARD OF PHARMACY
CA
Enumeration date
03/17/2014
Last updated
07/07/2023
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us