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Organization

FULL GREEN PHARMACY INC.

Active
Other names
T & C PHARMACY
Organization subpart
No

Provider details

NPI number
Authorized official
MR. JENSEN YANG (PRESIDENT)
(562) 494-1487
Entity
Organization

Contact information

Practice address
2340 E PACIFIC COAST HWY, STE G, LONG BEACH, CA 90804-1500
(562) 494-1487
(562) 986-4418
Mailing address
2340 E PACIFIC COAST HWY, STE G, LONG BEACH, CA 90804-1500
(562) 494-1487
(562) 986-4418

Taxonomy

Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PHY48630
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
9475033
BIN #
CA
05
PHA486300
CA
Enumeration date
11/23/2005
Last updated
09/11/2007
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