Organization
HONG SHONG ENTERPRISES, INC
Active
Organization
HONG SHONG ENTERPRISES, INC
Active
Other names
Moorpark Comprehensive Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
PETER WANG (BUSINESS MANAGER)
(805) 990-8555
Entity
Organization
Contact information
Practice address
865 PATRIOT DR, SUITE 103, MOORPARK, CA 93021-3407
(805) 523-8300
Mailing address
865 PATRIOT DR, SUITE 103, MOORPARK, CA 93021-3407
(805) 523-8300
(805) 523-8333
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
50652
CA
3336C0003X
Community/Retail Pharmacy
Primary
50652
CA
3336C0004X
Compounding Pharmacy
50652
CA
Other
Enumeration date
06/24/2011
Last updated
10/02/2011
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