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Organization
XUAN T HOANG
Active
Organization
XUAN T HOANG
Active
Other names
BLUE STAR PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
XUAN HOANG (OWNER)
(916) 422-9861
Entity
Organization
Contact information
Practice address
3811 FLORIN RD STE 28, SACRAMENTO, CA 95823-1803
(916) 422-9861
(916) 391-1720
Mailing address
3811 FLORIN RD STE 28, SACRAMENTO, CA 95823-1803
(916) 422-9861
(916) 391-1720
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PHY44814
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1995569
PK
—
05
—
PHA448140
—
CA
Enumeration date
08/10/2006
Last updated
07/03/2013
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