Organization
EZ PHARMACY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TIEN LE PHARM.D. (CEO)
(626) 872-0750
Entity
Organization
Contact information
Practice address
625 E VALLEY BLVD, SUITE J, SAN GABRIEL, CA 91776-3591
(626) 872-0750
(626) 872-0752
Mailing address
625 E VALLEY BLVD, SUITE J, SAN GABRIEL, CA 91776-3591
(626) 872-0750
(626) 872-0752
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8167740
—
CA
Enumeration date
03/12/2013
Last updated
02/14/2022
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