Organization
RITE AID
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAT TRAN RPH (PHARMACIST)
(949) 786-0151
Entity
Organization
Contact information
Practice address
18112 CULVER DR, IRVINE, CA 92612-2730
(949) 786-0151
(949) 786-8262
Mailing address
2300 S LEWIS ST SPC 176, ANAHEIM, CA 92802-5036
(714) 644-0574
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Enumeration date
11/17/2021
Last updated
11/17/2021
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