Organization
TOWIN PHARMACY INC
Active
Other names
PINE CONE DRUG
Organization subpart
No
Provider details
NPI number
Authorized official
THANH NGUYEN PHARMD (OWNER & PIC)
(916) 580-5839
Entity
Organization
Contact information
Practice address
19660 STATE HIGHWAY 88, PINE GROVE, CA 95665-9458
(209) 296-8777
(209) 296-8778
Mailing address
19660 STATE HIGHWAY 88, PINE GROVE, CA 95665-9458
(209) 296-8777
(209) 296-8778
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PHY53707
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1997144
PK
—
05
—
PHA474010
—
CA
Enumeration date
06/14/2006
Last updated
03/01/2016
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