Organization
DANG PHARMACY GROUP INC
Active
Organization
DANG PHARMACY GROUP INC
Active
Other names
SAN GABRIEL MEDICAL PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
THI DANG PHARMD (PRESIDENT/OWNER)
(626) 960-8696
Entity
Organization
Contact information
Practice address
1250 S SUNSET AVE STE 207, WEST COVINA, CA 91790-3962
(626) 960-8696
(626) 960-8749
Mailing address
1250 S SUNSET AVE STE 207, WEST COVINA, CA 91790-3962
(626) 960-8696
(626) 960-8749
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PHY48959
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1053596361
—
CA
01
—
2121289
PK
—
Enumeration date
01/04/2008
Last updated
07/08/2014
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