Organization
LE & NGUYEN PACIFIC PHARMACY
Active
Other names
Pacific Coast Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
NANCY LE RPH (OWNER,MGR,PIC,AO)
(714) 230-5106
Entity
Organization
Contact information
Practice address
10515 MCFADDEN AVE STE 104, GARDEN GROVE, CA 92843-5301
(714) 260-9094
(714) 849-5764
Mailing address
10515 MCFADDEN AVE STE 104, GARDEN GROVE, CA 92843-5301
(714) 260-9094
(714) 849-5764
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
53660
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1689082133
—
CA
01
—
2147474
PK
—
Enumeration date
07/29/2014
Last updated
10/13/2016
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