Organization
LINDA VISTA PHARMACY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TIEN QUANG BUI R.PH. (OWNER)
(858) 277-6147
Entity
Organization
Contact information
Practice address
2361 ULRIC ST, SAN DIEGO, CA 92111-6402
(858) 277-6147
(858) 277-6146
Mailing address
2361 ULRIC ST, SAN DIEGO, CA 92111-6402
(858) 277-6147
(858) 277-6146
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PHA338550
—
CA
Enumeration date
01/04/2006
Last updated
03/07/2023
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