Individual provider · Type 1 NPI

Jason Ly

Pharmacy · Orange, CA

NPI number 1740103514 Active

Practice location

101 The City Dr S
Orange, CA 92868-3201

Mailing address

16412 Longworth Ave
Norwalk, CA 90650-6932

Specialties and licenses

TaxonomyCodeLicense
Pharmacy Primary 333600000XNone listed

Pharmacy: A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is lo…

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About NPI 1740103514

Jason Ly's National Provider Identifier is 1740103514, issued on Jul 30, 2026. The primary taxonomy on file is Pharmacy (333600000X), and the practice location is in Orange, CA. The record was last updated on Jul 30, 2026.