Organization
DT PHARMACY CORPORATION
Active
Other names
PHILLIP PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
PHUONGDUNG NGUYEN RPH (PRES, PIC, AO)
(619) 458-9660
Entity
Organization
Contact information
Practice address
5507 EL CAJON BLVD # E, SAN DIEGO, CA 92115-3624
(619) 458-9660
(619) 326-8829
Mailing address
5507 EL CAJON BLVD # E, SAN DIEGO, CA 92115-3624
(619) 458-9660
(619) 326-8829
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
53778
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2157313
PK
—
Enumeration date
12/29/2015
Last updated
01/20/2016
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