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Organization

BRIAN B MIN

Active
Other names
VALLEY WEST MEDICAL PHARMACY
Organization subpart
No

Provider details

NPI number
Authorized official
BRIAN B MIN (OWNER PHARMACIST)
(626) 289-4343
Entity
Organization

Contact information

Practice address
1935 W VALLEY BLVD, ALHAMBRA, CA 91803-2346
(626) 289-4343
(626) 289-9336
Mailing address
1935 W VALLEY BLVD, ALHAMBRA, CA 91803-2346
(626) 289-4343
(626) 289-9336

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
RPH35960
CA
332B00000X
Durable Medical Equipment & Medical Supplies
48957
CA
333600000X
Pharmacy
Primary
PHY48957
CA
3336C0003X
Community/Retail Pharmacy

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0525432
OTHER ID NUMBER-COMMERCIAL NUMBER
05
PHA413380
CA
Enumeration date
12/06/2006
Last updated
01/23/2012
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