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Organization
DANG PHARMACY GROUP INC
Active
Organization
DANG PHARMACY GROUP INC
Active
Other names
San Gabriel Medical Compounding Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
THI DANG (OWNER / PIC)
(626) 593-2428
Entity
Organization
Contact information
Practice address
1250 S SUNSET AVE # 207-B, WEST COVINA, CA 91790-3961
(626) 593-2428
(626) 960-8749
Mailing address
1250 S SUNSET AVE, #207-B, WEST COVINA, CA 91790-3961
(626) 593-2428
(626) 960-8749
Taxonomy
Speciality
Code
Description
License number
State
3336C0004X
Compounding Pharmacy
Primary
PHY51197
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2145475
PK
—
Enumeration date
09/24/2012
Last updated
03/30/2015
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