# NORDAHL PHARMACY CORP

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- **Entity:** Organization
- **Status:** Active
- **Other names:** NORDAHL PHARMACY
- **Organization subpart:** No

## Provider details

- **NPI number:** 1346881414
- **Authorized official:** TUAN QUOC VU PHARM D (PRESIDENT/PIC)
- **Authorized official phone:** (760) 501-0030

## Contact information

- **Practice address:** 740 NORDAHL RD STE 120, SAN MARCOS, CA 92069-3545
- **Practice address phone:** (760) 501-0030
- **Practice address fax:** (760) 501-0440
- **Mailing address:** 740 NORDAHL RD STE 120, SAN MARCOS, CA 92069-3545
- **Mailing address phone:** (760) 501-0030
- **Mailing address fax:** (760) 501-0440

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336L0003X | Long Term Care Pharmacy | — | NULL | Yes |

## Other

- **Enumeration date:** 09/30/2019
- **Last updated:** 09/30/2019