Provider Demographics
NPI:1740031517
Name:PLACENTIA LINDA PHARMACY INC
Entity type:Organization
Organization Name:PLACENTIA LINDA PHARMACY INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHARMACY MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:UMADEVI
Authorized Official - Middle Name:NEIL
Authorized Official - Last Name:DHULIA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:714-993-3345
Mailing Address - Street 1:1233 E YORBA LINDA BLVD
Mailing Address - Street 2:
Mailing Address - City:PLACENTIA
Mailing Address - State:CA
Mailing Address - Zip Code:92870-3830
Mailing Address - Country:US
Mailing Address - Phone:714-993-3345
Mailing Address - Fax:714-993-3344
Practice Address - Street 1:1233 E YORBA LINDA BLVD
Practice Address - Street 2:
Practice Address - City:PLACENTIA
Practice Address - State:CA
Practice Address - Zip Code:92870-3830
Practice Address - Country:US
Practice Address - Phone:714-993-3345
Practice Address - Fax:714-993-3344
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-03-29
Last Update Date:2024-03-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336L0003XSuppliersPharmacyLong Term Care Pharmacy