Organization
MEDS ENVY INC
Active
Other names
WOW PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
YONG SOON CHANG (PRESIDENT)
(217) 721-3435
Entity
Organization
Contact information
Practice address
5450 BEACH BLVD STE 110, BUENA PARK, CA 90621-1277
(714) 576-7987
(714) 576-7989
Mailing address
5450 BEACH BLVD, SUITE #110, BUENA PARK, CA 90621-1277
(714) 576-7987
(714) 576-7989
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
55831
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2173130
PK
—
Enumeration date
11/08/2017
Last updated
09/19/2025
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