Organization
NSN FAMILY INC
Active
Other names
YUCAIPA CARE PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
SALAN THONG (PRESIDENT)
(909) 570-9771
Entity
Organization
Contact information
Practice address
33490 OAK GLEN RD STE E, YUCAIPA, CA 92399-2095
(909) 570-9771
(909) 570-9718
Mailing address
33490 OAK GLEN RD STE E, YUCAIPA, CA 92399-2095
(909) 570-9771
(909) 570-9718
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
53611
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2154353
PK
—
Enumeration date
08/29/2015
Last updated
08/04/2016
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