| NPI | 1407163967 |
|---|---|
| Doing Business As | MAILAN HERITAGE PHARMACY |
| Entity Type | Organization |
| Authorized Contact | PHUONG THI NGOC PHAM PIC/CEO 714-899-4960 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: CA PHY50316) |
| Enumeration Date | 2010-09-05 |
| Last Update Date | 2019-08-01 |