Organization
NEWBURY PHARMACY INC
Active
Other names
Spectrum Pharmacy-Anaheim
Organization subpart
No
Provider details
NPI number
Authorized official
HUNG VO (PRESIDENT)
(714) 826-6246
Entity
Organization
Contact information
Practice address
1236 N MAGNOLIA AVE, ANAHEIM, CA 92801-2607
(714) 826-6246
(714) 826-1810
Mailing address
1236 N MAGNOLIA AVE, ANAHEIM, CA 92801-2607
(714) 826-6246
(714) 826-1810
Taxonomy
Speciality
Code
Description
License number
State
332BN1400X
Nursing Facility Supplies (DME)
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
55521
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2167497
PK
—
Enumeration date
01/26/2017
Last updated
04/19/2018
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