Organization
HARBOR HEALTHY LIVING PHARMACY INC
Active
Other names
Harbor Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MR. THINH HUNG TRAN PHARM D (PRESIDENT/PIC)
(714) 531-9988
Entity
Organization
Contact information
Practice address
16040 HARBOR BLVD, STE K, FOUNTAIN VALLEY, CA 92708-1327
(714) 531-9988
(714) 531-9987
Mailing address
16040 HARBOR BLVD, STE K, FOUNTAIN VALLEY, CA 92708-1327
(714) 531-9988
(714) 531-9987
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
PHY50888
CA
3336C0003X
Community/Retail Pharmacy
Primary
PHY50888
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1760757439
—
CA
01
—
PHY 50888
CALIFORNIA STATE BOARD OF PHARMACY
CA
Enumeration date
03/14/2012
Last updated
03/15/2022
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