Fiesta Pharmacy,inc

NPI 1861473878 - Pharmacy - 333600000X

NPI Details
NPI 1861473878
Enumeration Date 11/08/2005
Last Updated 07/08/2007
Entity Type Healthcare Provider
Active Over 11 years ago
Authorized Information
Name GUY D. GUY
Position PIC, CEO
Phone (714) 554-0997
Fax (714) 554-0998
Practice Location
2709 WESTMINSTER AVE
SUITE A2
SANTA ANA CA, 92706-2140, US
Phone (714) 554-0997
Fax (714) 554-0998
Business Location
2709 WESTMINSTER AVE
SUITE A2
SANTA ANA CA, 92706-2140, US
Phone (714) 554-0997
Fax (714) 554-0998
Toxanomy
Taxonomy Code 333600000X
License State California
License Number PHY41512
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According to our database, Fiesta Pharmacy,inc NPI is 1861473878, taxonomy code is 333600000X and license number is PHY41512, license state is located at California. Fiesta Pharmacy,inc physically located at 2709 Westminster Ave, Santa Ana CA, 92706-2140. NPI Number 1033115704 has the healthcare provider type.

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1861473878 NPI number is provided on an as is basis without warranty of any kind. 1861473878 is maintained by the National Plan & Provider Enumeration System. The contents of Fiesta Pharmacy,inc are for informational purposes only.