Organization
ACE 4Q INC
Active
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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