Organization
NORDAHL PHARMACY CORP
Active
Other names
NORDAHL PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
TUAN QUOC VU PHARM D (PRESIDENT/PIC)
(760) 501-0030
Entity
Organization
Contact information
Practice address
740 NORDAHL RD STE 120, SAN MARCOS, CA 92069-3545
(760) 501-0030
(760) 501-0440
Mailing address
740 NORDAHL RD STE 120, SAN MARCOS, CA 92069-3545
(760) 501-0030
(760) 501-0440
Taxonomy
Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
57150
BOARD OF PHARMACY PERMIT
CA
Enumeration date
09/30/2019
Last updated
09/30/2019
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