Organization
DRUG PHARM INC.
Active
Other names
El Portal Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
BA HUYNH (PHARMACIST/OFFICER)
(559) 940-4186
Entity
Organization
Contact information
Practice address
3377 G ST STE B, MERCED, CA 95340-0964
(209) 384-8880
(209) 384-8881
Mailing address
2527 DEAUVILLE CIR, CLOVIS, CA 93619-2839
(559) 940-4186
(559) 297-4128
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
50895
CA
3336C0004X
Compounding Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5644364
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
07/18/2012
Last updated
07/18/2012
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