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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