Organization
GOLDEN PHARMACY CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TRUONG NGUYEN (MANAGER)
(714) 839-0256
Entity
Organization
Contact information
Practice address
10301 BOLSA AVE STE 105, WESTMINSTER, CA 92683-6784
(714) 839-0256
(714) 839-1704
Mailing address
10301 BOLSA AVE STE 105, WESTMINSTER, CA 92683-6784
(714) 839-0256
(714) 839-1704
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PHY38086
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PHA380860
—
CA
01
—
PHY38086
STATE LICENCE
CA
Enumeration date
09/27/2006
Last updated
06/11/2008
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