Organization
NTT CORPORATION
Active
Other names
Kieu An Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. NHI HANH HGUYEN TRAN RPH (PRESIDENT/PIC)
(626) 280-0466
Entity
Organization
Contact information
Practice address
600 E VALLEY BLVD, #G, SAN GABRIEL, CA 91776-3673
(626) 280-0466
(626) 572-0569
Mailing address
600 E VALLEY BLVD, #G, SAN GABRIEL, CA 91776-3673
(626) 280-0466
(626) 572-0569
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
PHY 51153
CA
3336C0003X
Community/Retail Pharmacy
Primary
PHY 51153
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
05-90198
NCPDP
CA
01
—
PHY 51153
RETAIL PHARMACY PERMIT
CA
Enumeration date
10/18/2005
Last updated
11/27/2012
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