Organization
FWD HEALTHCARE INC
Active
Other names
986 Pharmacy #8037
Organization subpart
No
Provider details
NPI number
Authorized official
KHANH-LONG THAI PHARM D (CEO)
(626) 674-6718
Entity
Organization
Contact information
Practice address
1635 S SAN GABRIEL BLVD, UNIT A, SAN GABRIEL, CA 91776-3973
(626) 280-3060
(626) 280-1215
Mailing address
1635 S SAN GABRIEL BLVD, UNIT A, SAN GABRIEL, CA 91776-3973
(626) 280-3060
(626) 280-1215
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2050095
PK
—
05
—
PHA437040
—
CA
Enumeration date
11/27/2006
Last updated
08/15/2025
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