Organization
ACE 4Q INC
Active
Other names
Farmacia Familiar
Organization subpart
No
Provider details
NPI number
Authorized official
ABDUL JAWAD (MANAGER)
(714) 486-2277
Entity
Organization
Contact information
Practice address
1126 S BRISTOL ST, SANTA ANA, CA 92704-3420
(714) 486-2277
(714) 486-1170
Mailing address
1126 S BRISTOL ST, SANTA ANA, CA 92704-3420
(714) 486-2277
(714) 486-1170
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PHY50205
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2124545
PK
—
05
—
PHA502050
—
CA
Enumeration date
04/09/2010
Last updated
12/10/2014
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