Organization
LAN THI TRAN NGUYEN
Active
Other names
DU PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
LAN TRAN (PIC)
(562) 355-3831
Entity
Organization
Contact information
Practice address
10042 LAMPSON AVE, GARDEN GROVE, CA 92840-4703
(714) 537-3819
(714) 537-8205
Mailing address
10042 LAMPSON AVE, GARDEN GROVE, CA 92840-4703
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PHY49001
CA
3336M0002X
Mail Order Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5630062
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
04/22/2008
Last updated
05/11/2009
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