# BAXCO PHARMACEUTICAL, INC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1821322082
- **Authorized official:** DENNIS VINCENT WONG (CEO)
- **Authorized official phone:** (626) 688-9138

## Contact information

- **Practice address:** 205 LEMON CREEK DR, WALNUT, CA 91789-2643
- **Practice address phone:** (909) 595-0826
- **Practice address fax:** (909) 595-6600
- **Mailing address:** 205 LEMON CREEK DR, WALNUT, CA 91789-2643
- **Mailing address phone:** (909) 595-0826
- **Mailing address fax:** (909) 595-6600

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 302R00000X | Health Maintenance Organization | — | CA | Yes |

## Other

- **Enumeration date:** 09/21/2009
- **Last updated:** 09/21/2009