| NPI | 1750667986 |
|---|---|
| Doing Business As | PHOENIX PHARMACY |
| Entity Type | Organization |
| Authorized Contact | NATHAN LAM CEO 714-690-0349 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336L0003X Pharmacy, Long Term Care Pharmacy |
| Enumeration Date | 2011-11-02 |
| Last Update Date | 2024-11-04 |