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Organization
VAN RX INC
Active
Organization
VAN RX INC
Active
Other names
VAN PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LISA NGOC NGUYEN PHARM.D. (CEO/PIC)
(714) 775-1789
Entity
Organization
Contact information
Practice address
14441 BROOKHURST ST STE 4, GARDEN GROVE, CA 92843-4646
(714) 775-1789
(714) 775-0470
Mailing address
14441 BROOKHURST ST STE 4, GARDEN GROVE, CA 92843-4646
(714) 775-1789
(714) 775-0470
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
PHY39430
CA
3336C0003X
Community/Retail Pharmacy
Primary
—
—
3336M0003X
Managed Care Organization Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0543771
NCPDP PROVIDER IDENTIFICATION NUMBER
—
05
—
PHA394300
—
CA
Enumeration date
10/02/2006
Last updated
10/30/2019
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