| 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 |