Organization
EASTGATE PHARMACY INC
Active
Other names
EastGate Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MINH CHAU NGUYEN (CEO)
(714) 902-1480
Entity
Organization
Contact information
Practice address
11741 VALLEY VIEW ST STE L, CYPRESS, CA 90630-5500
(714) 902-1480
(714) 902-1481
Mailing address
11741 VALLEY VIEW ST STE L, CYPRESS, CA 90630-5500
(714) 902-1480
(714) 902-1481
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
55923
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1689176356
—
CA
01
—
2176364
PK
—
Enumeration date
03/08/2018
Last updated
09/19/2025
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