Organization
LA VETA PHARMACY LLC
Active
Other names
ORANGE PLAZA PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHEN T HOM PHARM D (MANAGING MEMBER)
(714) 550-9798
Entity
Organization
Contact information
Practice address
1010 W LA VETA AVE STE 130, ORANGE, CA 92868-4301
(714) 550-9798
(714) 550-9336
Mailing address
1010 W LA VETA AVE STE 130, ORANGE, CA 92868-4301
(714) 550-9798
(714) 550-9336
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
—
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PHY60036
BOARD OF PHARMACY
CA
Enumeration date
09/25/2008
Last updated
10/29/2024
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