NPI | 1215672613 |
---|---|
Doing Business As | MTM PHARMACY I |
Entity Type | Organization |
Authorized Contact | TINA TUYET QUACH-TRAN Owner/President/CEO 714-705-6992 |
Organization Subpart ? | No |
Primary Taxonomy | 3336L0003X Pharmacy, Long Term Care Pharmacy |
Additional Taxonomies | 3336C0003X Pharmacy, Community/Retail Pharmacy |
Enumeration Date | 2022-04-29 |
Last Update Date | 2022-05-02 |