Organization
PRIME RX SAN GABRIEL, INC.
Active
Organization
PRIME RX SAN GABRIEL, INC.
Active
Other names
Prime Rx San Gabriel
Organization subpart
No
Provider details
NPI number
Authorized official
DONALD HAN (CEO)
(626) 656-6939
Entity
Organization
Contact information
Practice address
533 W LAS TUNAS DR # 102, SAN GABRIEL, CA 91776-1133
(626) 656-6939
(626) 656-6593
Mailing address
533 W LAS TUNAS DR # 102, SAN GABRIEL, CA 91776-1133
(213) 234-8319
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Enumeration date
09/15/2020
Last updated
06/17/2025
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