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
(714) 509-1278
Mailing address
7872 WALKER ST STE 106, LA PALMA, CA 90623-1748
(714) 690-0349
(714) 509-1278
Taxonomy
Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1750667986
—
CA
01
—
2132478
PK
—
Enumeration date
11/02/2011
Last updated
02/12/2025
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us