Organization
GOOSE PHARMA, LLC
Active
Other names
One Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
JENNY DANG PHARMD (PHARMACIST)
(714) 587-9786
Entity
Organization
Contact information
Practice address
18049 MAGNOLIA ST, FOUNTAIN VALLEY, CA 92708-5638
(714) 587-9786
(888) 622-3871
Mailing address
18049 MAGNOLIA ST, FOUNTAIN VALLEY, CA 92708-5638
(714) 587-9786
(888) 622-3871
Taxonomy
Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
Primary
—
—
Other
Enumeration date
10/25/2021
Last updated
10/25/2021
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