Healthcare Provider Details

I. General information

NPI: 1265458012
Provider Name (Legal Business Name): F&N PHARMA INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/14/2006
Last Update Date: 01/22/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

301 W BASTANCHURY RD STE 100
FULLERTON CA
92835-3419
US

IV. Provider business mailing address

301 W BASTANCHURY RD STE 100
FULLERTON CA
92835-3419
US

V. Phone/Fax

Practice location:
  • Phone: 714-879-5400
  • Fax: 714-879-5402
Mailing address:
  • Phone: 714-879-5400
  • Fax: 714-879-5402

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License NumberPHY47504
License Number StateCA
# 3
Primary TaxonomyN
Taxonomy Code3336C0004X
TaxonomyCompounding Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: FAYEK BICHAI
Title or Position: CEO
Credential: RPH
Phone: 714-655-1879