Organization
GOLD STALLION, INC
Active
Other names
Mariner Advanced Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HENRY TRUONG PHARM.D (CEO/CFO/DIR)
(888) 999-0991
Entity
Organization
Contact information
Practice address
345 CONVENTION WAY, STE C, REDWOOD CITY, CA 94063
(888) 999-0991
(888) 395-9798
Mailing address
345 CONVENTION WAY, STE C, REDWOOD CITY, CA 94063
(888) 999-0991
(888) 395-9798
Taxonomy
Speciality
Code
Description
License number
State
251F00000X
Home Infusion Agency
100775
CA
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Enumeration date
05/15/2012
Last updated
12/23/2024
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