Organization
SON D NGUYEN & DUNG N LE
Active
Organization
SON D NGUYEN & DUNG N LE
Active
Other names
Vina Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SON D NGUYEN RPH. (OWNER PHARMACIST)
(559) 224-5210
Entity
Organization
Contact information
Practice address
2308 N FRESNO ST, FRESNO, CA 93703-2239
(559) 224-5210
(559) 225-5902
Mailing address
2308 N FRESNO ST, FRESNO, CA 93703-2239
(559) 224-5210
(559) 225-5902
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
PHY34957
CA
3336C0003X
Community/Retail Pharmacy
Primary
PHY34957
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0541878
NCPDP
—
01
—
1164421988
NPI
CA
05
—
PHA349570
—
CA
01
—
PHY34957
CALIFORNIA PHARMACY STATE
CA
Enumeration date
07/14/2005
Last updated
12/28/2011
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