Organization · Type 2 NPI

Athenolan Pharmaceutical Inc

Community/Retail Pharmacy · Fountain Valley, CA

NPI number 1174866529 Active

Practice location

16931 Bushard St
Fountain Valley, CA 92708-2819

Fax (714) 968-6893

Specialties and licenses

Taxonomy	Code	License
Durable Medical Equipment & Medical Supplies	332B00000X	None listed
Community/Retail Pharmacy Primary	3336C0003X	None listed

Community/Retail Pharmacy: A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other …

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NPI record

NPI: 1174866529
Entity type: Organization (Type 2)
Issued: Apr 4, 2013
Last updated: Sep 23, 2019
Status: Active

Other names

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Tao Wellness Pharmacy · doing business as
Tao Wellness Pharmacy · doing business as

Authorized official

Dr. Mahbod Zargar, PHARM D
Secretary/pic
(714) 593-5654

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1174866529

Athenolan Pharmaceutical Inc's National Provider Identifier is 1174866529, issued on Apr 4, 2013. The primary taxonomy on file is Community/Retail Pharmacy (3336C0003X), and the practice location is in Fountain Valley, CA. The record was last updated on Sep 23, 2019.