Organization
MAX RX GROUP INC
Active
Other names
HUNG JEN PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
MS. NINA WU RPH (PRESIDENT/ PHARMACIST)
(626) 571-2928
Entity
Organization
Contact information
Practice address
1336 W VALLEY BLVD #B, ALHAMBRA, CA 91803
(626) 571-2928
(626) 571-6479
Mailing address
1336 W VALLEY BLVD #B, ALHAMBRA, CA 91803
(626) 571-2928
(626) 571-6479
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
PHY51220
CA
3336C0003X
Community/Retail Pharmacy
Primary
PHY51220
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0536980
NCPDP PROVIDER IDENTIFICATION NUMBER
—
01
—
PHY51220
CALIFORNIA STATE BOARD OF PHARMACY RETAIL PERMIT
CA
Enumeration date
11/17/2006
Last updated
01/08/2013
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