Organization
COSMED PHARMACY, INC.
Active
Other names
986 Pharmacy #8006
Organization subpart
No
Provider details
NPI number
Authorized official
KHANH-LONG THAI PHARM D (CEO)
(818) 933-2010
Entity
Organization
Contact information
Practice address
6521 VAN NUYS BLVD, VAN NUYS, CA 91401-1425
(818) 933-2010
(818) 933-2018
Mailing address
2476 HUNTINGTON DR, SAN MARINO, CA 91108-2643
(818) 933-2010
(818) 933-2018
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
55488
CA
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
61319
STATE BOARD OF PHARMACY
CA
Enumeration date
05/30/2017
Last updated
04/02/2026
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