MEDICARE: FTF PHARMACY CORPORATION

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	333600000X	Pharmacy	PHY54296	CA
2	3336C0003X	Community/Retail Pharmacy

General Provider Information

NPI Number	:	1407216633
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	FTF PHARMACY CORPORATION

Provider Business Mailing Address
First Line	:	17742 BEACH BLVD STE 100
Second Line	:
City	:	HUNTINGTON BEACH
State	:	CA
Zip	:	92647-6847
Country	:	US
Telephone Number	:	714-848-4447
Fax Number	:

Provider Business Practice Location Address
First Line	:	17742 BEACH BLVD STE 100
Second Line	:
City	:	HUNTINGTON BEACH
State	:	CA
Zip	:	92647-6847
Country	:	US
Telephone Number	:	714-848-4447
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MRS. YOON H CHANG
Credential	:
Telephone Number	:	949-285-9432

Provider Enumeration Date	:	03/01/2016
Last Update Date	:	03/02/2016

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Directions to “FTF PHARMACY CORPORATION ” Practice Location

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