Organization
SAVON #6563
Active
Other names
Albertsons
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KEN ONG (PHARMACIST/MANAGER)
(949) 369-5596
Entity
Organization
Contact information
Practice address
989 AVENIDA PICO, SAN CLEMENTE, CA 92673-3908
(949) 369-5596
Mailing address
989 AVENIDA PICO, SAN CLEMENTE, CA 92673-3908
(949) 369-5596
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
56061
CA
Other
Enumeration date
10/29/2015
Last updated
10/29/2015
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