Organization
D-PROFESSIONAL RX INC
Active
Other names
D PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
DENISE TUONG LE PHARM D (PRESIDENT/CEO)
(714) 841-6700
Entity
Organization
Contact information
Practice address
9114 EDINGER AVE, FOUNTAIN VALLEY, CA 92708-1437
(714) 841-6700
(714) 841-6788
Mailing address
9114 EDINGER AVE, FOUNTAIN VALLEY, CA 92708-1437
(714) 841-6700
(714) 841-6788
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PHY58810
BOARD OF PHARMACY
CA
Enumeration date
12/28/2006
Last updated
11/07/2022
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