Organization
LAGUNA PHARMACY INC
Active
Other names
Laguna Pharmacy, inc
Organization subpart
No
Provider details
NPI number
Authorized official
HAO HOANG (OWNER, PIC, AO)
(916) 684-9922
Entity
Organization
Contact information
Practice address
8112 SHELDON RD STE 300, ELK GROVE, CA 95758-5913
(916) 684-9922
(916) 684-9499
Mailing address
8112 SHELDON RD STE 300, ELK GROVE, CA 95758-5913
(916) 684-9922
(916) 684-9499
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PHY54664
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2167404
PK
—
Enumeration date
01/05/2017
Last updated
03/13/2017
Update your record
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