NPI | 1477082659 |
---|---|
Doing Business As | MTM PHARMACY V |
Entity Type | Organization |
Authorized Contact | TINA TUYET QUACH-TRAN President/CEO 714-613-1971 |
Organization Subpart ? | No |
Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
Enumeration Date | 2017-06-09 |
Last Update Date | 2021-05-19 |