Organization
RX CONSULTANTS GROUP INC
Active
Other names
First Street Medical Plaza Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
JEAN LY PHARM.D. (PRESIDENT)
(714) 309-2068
Entity
Organization
Contact information
Practice address
2010 E 1ST ST, STE 120, SANTA ANA, CA 92705-4079
(714) 954-1902
(714) 954-1904
Mailing address
2010 E 1ST ST, STE 120, SANTA ANA, CA 92705-4079
(714) 954-1902
(714) 954-1904
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PHY49267
CA
3336C0004X
Compounding Pharmacy
—
—
3336L0003X
Long Term Care Pharmacy
—
—
3336S0011X
Specialty Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1710132253
—
CA
01
—
2117984
PK
—
Enumeration date
11/25/2008
Last updated
03/14/2022
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