Healthcare Provider Details
I. General information
NPI: 1972977783
Provider Name (Legal Business Name): WWJD PHARMACY CORP
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 11/17/2015
Last Update Date: 08/30/2022
Certification Date: 08/30/2022
Deactivation Date:
Reactivation Date:
III. Provider practice location address
9091 EDINGER AVE STE B
WESTMINSTER CA
92683-7458
US
IV. Provider business mailing address
9091 EDINGER AVE STE B
WESTMINSTER CA
92683-7458
US
V. Phone/Fax
- Phone: 714-622-5549
- Fax: 714-622-5126
- Phone: 714-622-5549
- Fax: 714-622-5126
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 3336C0003X |
| Taxonomy | Community/Retail Pharmacy |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: MRS.
KIM-OANH
T.
TRAN
Title or Position: PRESIDENT/CEO/PHARMACIST IN CHARGE
Credential: PHARM D
Phone: 714-360-8967