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Organization

THEO PHARMACEUTICALS, INC

Active
Other names
MDRx Compounding Pharmacy
Organization subpart
No

Provider details

NPI number
Authorized official
DR. JACQUELINE T NGUYEN PHARM.D. (PRESIDENT)
(800) 567-7878
Entity
Organization

Contact information

Practice address
18682 BEACH BLVD STE 130, HUNTINGTON BEACH, CA 92648-2094
(800) 567-7878
(866) 638-6246
Mailing address
18682 BEACH BLVD STE 130, HUNTINGTON BEACH, CA 92648-2094
(800) 567-7878
(866) 638-6246

Taxonomy

Speciality
Code
Description
License number
State
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Primary
50255
CA
1835P1200X
Pharmacotherapy Pharmacist
50255
CA
305S00000X
Point of Service
50255
CA

Other

Enumeration date
04/16/2014
Last updated
04/16/2014
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