| NPI | 1710590120 |
|---|---|
| Doing Business As | MAIN ST PHARMACY |
| Entity Type | Organization |
| Authorized Contact | TERRY TRAN President/Pharmacist 949-257-3192 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2020-08-25 |
| Last Update Date | 2020-08-26 |