Organization
CANOGA PHARMACY,INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. THUY THI NGUYEN PHARMACIST (PRESIDENT & CEO)
(626) 575-6012
Entity
Organization
Contact information
Practice address
9646 GARVEY AVE, SUITE 103, S EL MONTE, CA 91733-1098
(626) 575-6012
(626) 575-6024
Mailing address
9646 GARVEY AVE, SUITE 103, S EL MONTE, CA 91733-1098
(626) 575-6012
(626) 575-6024
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RPH48165
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PHA432870
—
CA
Enumeration date
08/09/2005
Last updated
08/22/2020
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