Organization
KNB PHARMACY INC
Active
Other names
COOLEY HEALTH PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
BINH NGUYEN (OWNER/PIC)
(909) 514-1730
Entity
Organization
Contact information
Practice address
1091 S MOUNT VERNON AVE STE J, COLTON, CA 92324-4219
(909) 514-1730
(909) 514-1316
Mailing address
1091 S MOUNT VERNON AVE STE J, COLTON, CA 92324-4219
(909) 514-1730
(909) 514-1316
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PHY50638
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1427356294
—
CA
01
—
2129589
PK
—
Enumeration date
03/03/2011
Last updated
05/19/2025
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