Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Fairview Mtm Pharma, Inc

Organization Community/Retail Pharmacy · NPI 1417306200

Fairview Mtm Pharma, Inc is a Community/Retail Pharmacy in Santa Ana, California. Licensed in California. Registered with an NPI since 2016.

Licensed in
CA
In the registry since
2016
Specialties on file
2
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1002 N Fairview St
Santa Ana, CA 92703-1811
Phone: (714) 881-0012
Fax: (714) 486-2378
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Community/Retail Pharmacy (primary) Taxonomy 3336C0003X · Licence PHY54449 (CA)
Specialty Pharmacy Taxonomy 3336S0011X

Record details

NPI number1417306200
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Denise Le — President/Ceo/Pic · (714) 881-0012
Other names Professional Pharmacy Fairview
NPI enumeratedJune 13, 2016
Last updated in NPPESFebruary 20, 2023
Certification dateFebruary 20, 2023
Mailing address1002 N Fairview St, Santa Ana, CA 92703-1811

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