VIET TA

COSTA MESA, CA
NPI1508392804
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy183500000X Pharmacist
(Licence: CA  50814)
Enumeration Date2017-05-05
Last Update Date2017-05-05
Business Address
Mr. VIET TA
175 E 17TH ST
COSTA MESA, CA 92627-3708
Phone number: 949-631-9223
Mailing Address
Mr. VIET TA
5441 TATTERSHALL AVE
WESTMINSTER, CA 92683-3446
Phone number: 714-943-0507