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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