Organization
ACE 4Q INC
Active
Other names
White Front Drug and Discount
Organization subpart
No
Provider details
NPI number
Authorized official
KAREEM JAWAD PHARMD (OWNER RPH)
(714) 540-2882
Entity
Organization
Contact information
Practice address
801 BAKER STREET, SUITE B, COSTA MESA, CA 92626
(714) 540-2882
(714) 540-0195
Mailing address
801 BAKER ST STE B, COSTA MESA, CA 92626-4347
(714) 540-2882
(714) 540-0195
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PHY41461
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0502129
NCPDP
—
Enumeration date
09/06/2006
Last updated
02/13/2012
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