Organization
HARBOR HEALTHY LIVING PHARMACY INC
Active
Other names
HARBOR HEALTHY LIVING PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
MR. THINH HUNG TRAN PHARM D (PRESIDENT/ PIC)
(714) 531-8080
Entity
Organization
Contact information
Practice address
646 S HARBOR BLVD, SANTA ANA, CA 92704-1384
(714) 531-8080
(714) 531-9090
Mailing address
646 S HARBOR BLVD, SANTA ANA, CA 92704-1384
(714) 531-8080
(714) 531-9090
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
PHY 50369
CA
3336C0003X
Community/Retail Pharmacy
Primary
PHY 50369
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
56-38688
NCPDP PROVIDER NUMBER
CA
01
—
PHY 50369
RETAIL PHARMACY PERMIT
CA
Enumeration date
08/10/2010
Last updated
07/05/2012
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