| NPI | 1306372891 |
|---|---|
| Doing Business As | MTM PHARMACY IV |
| Entity Type | Organization |
| Authorized Contact | TINA TUYET QUACH-TRAN President / Pharmacist In Charge 714-916-5383 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| 333600000X Pharmacy | |
| Enumeration Date | 2017-05-03 |
| Last Update Date | 2022-04-13 |