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LIFETIME VALUE PHARMACY III INC. NPI 1407296742


NPI Information

NPI: 1407296742
Provider Name: LIFETIME VALUE PHARMACY III, INC.
Classification: Pharmacy - 333600000X
Entity Type: Organization

CLIA Number: 05D2188430

Address:
301 E 17TH ST
SANTA ANA, CA
ZIP 92706
Phone: (714) 862-2470
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LIFETIME VALUE PHARMACY III, INC. is a pharmacy in Santa Ana, CA. The provider is a facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located. LIFETIME VALUE PHARMACY III, INC. NPI is 1407296742. The provider is registered as an organization entity type.

The provider's business location address is:

301 E 17TH ST
SANTA ANA, CA
ZIP 92706-804
Phone: (714) 862-2470
Fax: (714) 862-2471

The provider's authorized official is Ryan Linh Le .
The authorized official title is Vice President and has the following contact phone number (714) 862-2470.

The CLIA number assigned to this NPI record is 05D2188430 - pharmacy with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/1/2013 and was last updated on 7/1/2013.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1333600000XPharmacy51442CALIFORNIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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