Organization
THIEU-TRANG T CAO
Active
Other names
Ana Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. THIEU TRANG THI CAO RPH (PHARMACIST IN CHARGE OWNER)
(626) 350-1719
Entity
Organization
Contact information
Practice address
3513 JOHNSON AVE, EL MONTE, CA 91731-3211
(626) 350-1719
(626) 350-4338
Mailing address
3513 JOHNSON AVE, EL MONTE, CA 91731-3211
(626) 350-1719
(626) 350-4338
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
PHY43963
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0575095
NABP
—
05
—
PHA439630
—
CA
Enumeration date
12/05/2005
Last updated
07/09/2008
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