Organization
HEALTHNET PLUS
Active
Other names
MEL RICH PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
MS. IQTADARA MALIK (VICE PRESIDENT)
(714) 558-0131
Entity
Organization
Contact information
Practice address
1745 W 17TH ST, SANTA ANA, CA 92706-2378
(714) 558-0131
(714) 558-0262
Mailing address
1745 W 17TH ST STE A, SANTA ANA, CA 92706-2379
(714) 558-0131
(714) 558-0262
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PHY47004
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PHA470040
MEDICAL
CA
Enumeration date
07/19/2006
Last updated
03/11/2014
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