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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