Organization
MODERN DRUG INC
Active
Other names
Modern Drug
Organization subpart
No
Provider details
NPI number
Authorized official
QUOC LUONG (PIC)
(714) 867-6502
Entity
Organization
Contact information
Practice address
10672 CHAPMAN AVE STE 5, GARDEN GROVE, CA 92840-3103
(714) 867-6502
(714) 867-6487
Mailing address
10672 CHAPMAN AVE STE 5, GARDEN GROVE, CA 92840-3103
(714) 867-6502
(714) 867-6487
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
53920
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2158307
PK
—
05
—
2217241
—
CA
Enumeration date
02/23/2016
Last updated
10/24/2016
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