Organization
MARIARX INC
Active
Other names
MARIA PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
KIMBERLY NGUYEN (PRESIDENT/CEO)
(714) 554-4754
Entity
Organization
Contact information
Practice address
13872 HARBOR BLVD STE 1A, GARDEN GROVE, CA 92843-4000
(714) 554-4754
(714) 554-4854
Mailing address
13872 HARBOR BLVD STE 1A, GARDEN GROVE, CA 92843-4000
(714) 554-4754
(714) 554-4854
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
—
—
3336S0011X
Specialty Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1902179740
—
CA
01
—
PHY58863
BOARD OF PHARMACY
CA
Enumeration date
02/09/2012
Last updated
03/18/2026
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