Organization
GALAXY PHARMACY INC
Active
Other names
GALAXY PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
KENNY THAN VO PHARM D (PRESIDENT/CEO)
(562) 336-1200
Entity
Organization
Contact information
Practice address
1360 E ANAHEIM ST STE 106, LONG BEACH, CA 90813-5516
(562) 336-1200
(562) 336-1391
Mailing address
1360 E ANAHEIM ST STE 106, LONG BEACH, CA 90813-5516
(562) 336-1200
(562) 336-1391
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PHY57879
BOARD OF PHARMACY
CA
Enumeration date
01/24/2022
Last updated
01/24/2022
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