Organization
DRUG DEPOT PHARMACY INC
Active
Organization
DRUG DEPOT PHARMACY INC
Active
Other names
Drug Depot Pharmacy, Inc
Organization subpart
No
Provider details
NPI number
Authorized official
LUKE VU RPH (PRESIDENT)
(877) 378-4911
Entity
Organization
Contact information
Practice address
999 N TUSTIN AVE STE 12, SANTA ANA, CA 92705-3530
(714) 888-5155
(877) 378-4911
Mailing address
960 N TUSTIN ST STE 388, ORANGE, CA 92867-5956
(877) 378-4911
(877) 378-4911
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
50418
CA
3336C0004X
Compounding Pharmacy
—
—
3336L0003X
Long Term Care Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2128813
PK
—
Enumeration date
11/11/2010
Last updated
08/30/2016
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