Organization
VISTA PHARMA INC
Active
Other names
KIM AN PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PHU H. TRAN (PRESIDENT/CEO/RPH)
(714) 839-5888
Entity
Organization
Contact information
Practice address
15434 BROOKHURST ST, WESTMINSTER, CA 92683-7057
(714) 839-5888
(714) 839-7788
Mailing address
15434 BROOKHURST ST, WESTMINSTER, CA 92683-7057
(714) 839-5888
(714) 839-7788
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
3336C0003X
Community/Retail Pharmacy
—
—
3336S0011X
Specialty Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PHY59553
BOARD OF PHARMACY
CA
Enumeration date
07/02/2009
Last updated
12/26/2025
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