Provider Demographics
NPI:1467816322
Name:HARBOR HEALTHY LIVING PHARMACY INC
Entity Type:Organization
Organization Name:HARBOR HEALTHY LIVING PHARMACY INC
Other - Org Name:HARBOR PHARMACY 3
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT/RPH
Authorized Official - Prefix:DR
Authorized Official - First Name:THINH
Authorized Official - Middle Name:H
Authorized Official - Last Name:TRAN
Authorized Official - Suffix:
Authorized Official - Credentials:PHARM D
Authorized Official - Phone:714-537-0333
Mailing Address - Street 1:10900 WESTMINSTER AVE
Mailing Address - Street 2:SUITE 3
Mailing Address - City:GARDEN GROVE
Mailing Address - State:CA
Mailing Address - Zip Code:92843-4984
Mailing Address - Country:US
Mailing Address - Phone:714-537-0333
Mailing Address - Fax:714-537-0033
Practice Address - Street 1:10900 WESTMINSTER AVE
Practice Address - Street 2:SUITE 3
Practice Address - City:GARDEN GROVE
Practice Address - State:CA
Practice Address - Zip Code:92843-4984
Practice Address - Country:US
Practice Address - Phone:714-537-0333
Practice Address - Fax:714-537-0033
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-04-07
Last Update Date:2016-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA3336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy