Organization
FOUR SEASONS PHARMACY INC
Active
Other names
PHOENIX PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
NATHAN LAM (CEO)
(714) 690-0349
Entity
Organization
Contact information
Practice address
7872 WALKER ST STE 106, LA PALMA, CA 90623-1748
(714) 690-0349
Mailing address
7872 WALKER ST STE 106, LA PALMA, CA 90623-1748
(714) 690-0349
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Enumeration date
12/28/2020
Last updated
11/04/2024
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