Organization
CUONG TRINH PHARM D INC
Active
Other names
Wellness Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
TRINH CUONG (PRESIDENT)
(408) 356-4848
Entity
Organization
Contact information
Practice address
14777 LOS GATOS BLVD STE 101, LOS GATOS, CA 95032-2059
(408) 356-4848
(408) 356-4949
Mailing address
14777 LOS GATOS BLVD STE 101, LOS GATOS, CA 95032-2059
(408) 356-4848
(408) 356-4949
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
50586
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5640215
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
01/18/2011
Last updated
03/31/2011
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