Healthcare Provider Details

I. General information

NPI: 1992598098
Provider Name (Legal Business Name): AUDREY PHARMACY INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/22/2025
Last Update Date: 12/11/2025
Certification Date: 12/11/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9822 BOLSA AVE STE G
WESTMINSTER CA
92683-6870
US

IV. Provider business mailing address

9822 BOLSA AVE STE G
WESTMINSTER CA
92683-6870
US

V. Phone/Fax

Practice location:
  • Phone: 714-531-1244
  • Fax: 714-531-1246
Mailing address:
  • Phone: 714-531-1244
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3336L0003X
TaxonomyLong Term Care Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: AUDREY VU
Title or Position: OWNER
Credential:
Phone: 714-531-1983