Organization
TIN PHAT PHARMACY INC
Active
Other names
DONGNAI PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. VIVIAN TO-NGA NGUYEN PHARM D (PRESIDENT/ PHARMACIST IN CHARGE)
(714) 379-5072
Entity
Organization
Contact information
Practice address
9081 BOLSA AVE, # 108, WESTMINSTER, CA 92683-5509
(714) 379-5072
(714) 379-5074
Mailing address
9081 BOLSA AVE, # 108, WESTMINSTER, CA 92683-5509
(714) 379-5072
(714) 379-5074
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
05-32300
NCPDP PROVIDER
CA
05
—
PHA389350
—
CA
Enumeration date
08/22/2005
Last updated
12/05/2023
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