| NPI | 1710132253 |
|---|---|
| Doing Business As | FIRST STREET MEDICAL PLAZA PHARMACY |
| Entity Type | Organization |
| Authorized Contact | JEAN LY President 714-309-2068 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: CA PHY49267) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| 3336C0004X Pharmacy, Compounding Pharmacy | |
| 3336L0003X Pharmacy, Long Term Care Pharmacy | |
| 3336S0011X Pharmacy, Specialty Pharmacy | |
| Enumeration Date | 2008-11-25 |
| Last Update Date | 2022-03-14 |