Organization
MKA PHARMACY CORPORATION
Active
Organization
MKA PHARMACY CORPORATION
Active
Other names
MAY PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
KEVIN HOANG DINH PHARM.D. (CEO)
(714) 893-2697
Entity
Organization
Contact information
Practice address
14571 MAGNOLIA ST, STE 104, WESTMINSTER, CA 92683-5574
(714) 893-2697
(714) 893-3897
Mailing address
14571 MAGNOLIA ST, STE 104, WESTMINSTER, CA 92683-5574
(714) 893-2697
(714) 893-3897
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PHY48298
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5625011
NCPDP PROVIDER IDENTIFICATION NUMBER
—
05
—
PHA482980
—
CA
Enumeration date
12/29/2006
Last updated
11/13/2024
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