Individual
ALEX VANSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARM D
Contact information
Practice address
13052 NEWPORT AVE, TUSTIN, CA 92780-3535
(714) 505-6021
Mailing address
17532 ALLEGHENY DR, SANTA ANA, CA 92705-1802
(714) 838-5364
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
45442
CA
Other
Enumeration date
11/16/2011
Last updated
11/16/2011
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