Organization
EL PORTAL PHARMACY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NGOC THI NGUYEN PHARM D (OWNER)
(559) 399-8644
Entity
Organization
Contact information
Practice address
2407 JENSEN AVE STE 101, SANGER, CA 93657-2497
(559) 399-8644
Mailing address
2407 JENSEN AVE STE 101, SANGER, CA 93657-2497
(559) 399-8644
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
55430
CA
Other
Enumeration date
01/05/2017
Last updated
01/05/2017
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