Organization
MTN PHARMACISTS INC
Active
Other names
Envy Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MINH TRI VAN NGUYEN (PRESIDENT)
(504) 723-1978
Entity
Organization
Contact information
Practice address
5 JOURNEY STE 140A, ALISO VIEJO, CA 92656-5336
(949) 669-8355
Mailing address
5 JOURNEY, 140 A, ALISO VIEJO, CA 92656-5336
(949) 669-8355
(949) 446-4640
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1750477980
—
CA
01
—
2132647
PK
—
Enumeration date
10/05/2006
Last updated
09/09/2024
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