Organization
CN HEALTH INC
Active
Other names
MEDNIK PHARMACY AND MEDICAL SUPPLIES
Organization subpart
No
Provider details
NPI number
Authorized official
DAT CHAU PHRMD (CEO)
(323) 288-9979
Entity
Organization
Contact information
Practice address
609 N MEDNIK AVE, LOS ANGELES, CA 90022-1326
(323) 268-9979
(323) 268-9539
Mailing address
609 N MEDNIK AVE, LOS ANGELES, CA 90022-1326
(323) 268-9979
(323) 268-9539
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PHY48538
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0586606
NCPDP PROVIDER IDENTIFICATION NUMBER
—
05
—
PHA416180
—
CA
Enumeration date
09/12/2006
Last updated
10/26/2009
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