Organization
CVS PHARMACY 7079
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEAN PAK PHARMD (PHARMACIST-IN-CHARGE)
(714) 269-6871
Entity
Organization
Contact information
Practice address
2200 N HARBOR BLVD, FULLERTON, CA 92835-2605
(714) 269-6871
Mailing address
2001 CALLE ALEGRIA, FULLERTON, CA 92833-1747
(714) 269-6871
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
71851
CA
Other
Enumeration date
11/24/2015
Last updated
11/24/2015
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