Organization
OMEGA PHARMA INC
Active
Other names
DONG TAM PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LUONG T. NGUYEN (PRESIDENT/CEO/RPH)
(626) 573-2929
Entity
Organization
Contact information
Practice address
3163 N. SAN GABRIEL BLVD, SUITE 103, ROSEMEAD, CA 91770-2586
(626) 572-2929
(626) 572-9772
Mailing address
3163 N. SAN GABRIEL BLVD, SUITE 103, ROSEMEAD, CA 91770-2586
(626) 572-2929
(626) 572-9772
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
—
—
3336H0001X
Home Infusion Therapy Pharmacy
—
—
3336S0011X
Specialty Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
57272
BOARD OF PHARMACY PERMIT
CA
Enumeration date
12/04/2006
Last updated
10/07/2025
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