Organization
MIKE QUYNH BUI
Active
Other names
MEDICINE SHOPPE
Organization subpart
No
Provider details
NPI number
Authorized official
MIKE BUI (PHARMACIST AND OWNER)
(714) 999-0075
Entity
Organization
Contact information
Practice address
1125 E 17TH ST, S102, SANTA ANA, CA 92701-2201
(714) 999-0075
Mailing address
1125 E 17TH ST, S102, SANTA ANA, CA 92701-2201
(714) 999-0075
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PHY52530
CA
Other
Enumeration date
01/11/2007
Last updated
12/04/2014
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