NPI | 1356774350 |
---|---|
Doing Business As | MAXINE PHARMACY |
Entity Type | Organization |
Authorized Contact | BRIAN HUYNH Owner / PIC 714-590-6046 |
Organization Subpart ? | No |
Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: CA PHY51617) |
Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
333600000X Pharmacy | |
Enumeration Date | 2013-08-13 |
Last Update Date | 2022-08-01 |