Organization
PRESTIGE MEDICAL SOLUTIONS
Active
Other names
Prestige Medical Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
USMAN AHMED (OWNER)
(714) 361-1012
Entity
Organization
Contact information
Practice address
17150 EUCLID ST STE 222A, FOUNTAIN VALLEY, CA 92708-4092
(714) 361-1012
(714) 361-1019
Mailing address
17150 EUCLID ST, SUITE A222, FOUNTAIN VALLEY, CA 92708-4092
(714) 361-1012
(714) 361-1016
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
52505
CA
3336C0004X
Compounding Pharmacy
—
—
3336M0002X
Mail Order Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2155278
PK
—
Enumeration date
08/12/2014
Last updated
04/25/2017
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