Organization
MEDS ENVY INC
Active
Organization
MEDS ENVY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
YONG SOON CHANG (PRESIDENT)
(714) 576-7987
Entity
Organization
Contact information
Practice address
12873 HARBOR BLVD STE M3, SUITE M-3, GARDEN GROVE, CA 92840-5848
(217) 721-3435
(951) 943-1577
Mailing address
1849 AVENIDA DEL NORTE, FULLERTON, CA 92833-1820
(714) 576-7987
(951) 943-1577
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
55832
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2173133
PK
—
Enumeration date
11/08/2017
Last updated
11/21/2018
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