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Organization
MY LAN PHARMACY
Active
Organization
MY LAN PHARMACY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. NGA TUYET DANG (OWNER)
(510) 451-1916
Entity
Organization
Contact information
Practice address
401 E 18TH ST, SUITE B, OAKLAND, CA 94606-1850
(510) 451-1916
(510) 451-1916
Mailing address
401 E 18TH ST, SUITE B, OAKLAND, CA 94606-1850
(510) 451-1916
(510) 451-1916
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
40599
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PHA356880
—
CA
Enumeration date
12/27/2006
Last updated
06/19/2008
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