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Organization
VLN HEALTH AND WELLNESS LLC
Active
Organization
VLN HEALTH AND WELLNESS LLC
Active
Other names
CANARY PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
VANSON TRADZU LUU PHARM D (MANAGING MEMBER)
(714) 867-6595
Entity
Organization
Contact information
Practice address
12800 GARDEN GROVE BLVD STE G, GARDEN GROVE, CA 92843-2008
(714) 867-6595
(909) 621-5732
Mailing address
12800 GARDEN GROVE BLVD STE G, GARDEN GROVE, CA 92843-2008
(714) 867-6595
(909) 621-5732
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PHY59171
BOARD OF PHARMACY
CA
Enumeration date
02/07/2024
Last updated
02/07/2024
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