Organization
HONG SHONG ENTERPRISES INC
Active
Other names
Moorpark Comprehensive Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
PETER WANG (CO-FOUNDER/BUSINESS MANAGER)
(805) 990-8555
Entity
Organization
Contact information
Practice address
865 PATRIOT DR STE 103, MOORPARK, CA 93021-3407
(805) 523-8300
(805) 523-8333
Mailing address
865 PATRIOT DR, SUITE 103, MOORPARK, CA 93021-3407
(805) 523-8300
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PHY50652
CA
3336C0004X
Compounding Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2131049
PK
—
Enumeration date
07/25/2011
Last updated
07/05/2013
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