Organization
DANG PHARMACY GROUP INC
Active
Other names
San Gabriel Medical Compounding Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
THI DANG (OWNER / PIC)
(626) 593-2428
Entity
Organization
Contact information
Practice address
1250 S SUNSET AVE # 207-B, WEST COVINA, CA 91790-3961
(626) 593-2428
(626) 960-8749
Mailing address
1250 S SUNSET AVE, #207-B, WEST COVINA, CA 91790-3961
(626) 593-2428
(626) 960-8749
Taxonomy
Speciality
Code
Description
License number
State
3336C0004X
Compounding Pharmacy
Primary
PHY51197
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2145475
PK
—
Enumeration date
09/24/2012
Last updated
03/30/2015
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