Organization
SUN LAKE DRUG
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DEAN G NG PHARMD (PIC)
(323) 662-1139
Entity
Organization
Contact information
Practice address
2860 W SUNSET BLVD, LOS ANGELES, CA 90026-2126
(323) 662-1139
(323) 663-1223
Mailing address
2860 W SUNSET BLVD, LOS ANGELES, CA 90026-2126
(323) 662-1139
(323) 663-1223
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
PHY19627
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PHA196270
—
CA
Enumeration date
02/14/2007
Last updated
08/22/2020
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