Organization
DACEL INC
Active
Other names
SAN GABRIEL MEDICAL PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
MISS THI M DANG PHARM D (PHARMACIST PRESIDENT)
(626) 960-8696
Entity
Organization
Contact information
Practice address
1250 S SUNSET AVE STE 207, WEST COVINA, CA 91790-3962
(626) 960-8696
(626) 960-8749
Mailing address
1250 S SUNSET AVE STE 207, WEST COVINA, CA 91790-3962
(626) 960-8696
(626) 960-8749
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
PHA223000
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PHA 223000
—
CA
Enumeration date
10/23/2006
Last updated
08/13/2008
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