| NPI | 1366083198 |
|---|---|
| Doing Business As | BRIGHTSIDE SPECIALTY PHARMACY |
| Entity Type | Organization |
| Authorized Contact | TAN PHAM Secretary/PIC 714-707-5115 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2019-10-02 |
| Last Update Date | 2019-10-02 |