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Organization
YDS PHARMACY CORPORATION
Active
Organization
YDS PHARMACY CORPORATION
Active
Other names
Your Drug Store
Organization subpart
No
Provider details
NPI number
Authorized official
BRANDON HUYNH (PRESIDENT)
(760) 927-3710
Entity
Organization
Contact information
Practice address
1850 N RIVERSIDE AVE STE 170, RIALTO, CA 92376-8056
(909) 546-1300
(909) 546-1304
Mailing address
PO BOX 968, ATWOOD, CA 92811-0968
(714) 798-5808
(760) 269-3142
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PHY50787
CA
3336L0003X
Long Term Care Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5642447
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
11/08/2011
Last updated
12/13/2012
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