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Organization

DATE PHARMACY INC

Active
Other names
Date Pharmacy Inc
Organization subpart
No

Provider details

NPI number
Authorized official
AN NGUYEN (OWNER, PRES, AO)
(559) 765-1325
Entity
Organization

Contact information

Practice address
39765 DATE ST STE 101, MURRIETA, CA 92563-2005
(951) 696-5400
(951) 696-5411
Mailing address
39765 DATE ST STE 101, MURRIETA, CA 92563-2005
(951) 696-5400
(951) 696-5411

Taxonomy

Speciality
Code
Description
License number
State
333600000X
Pharmacy
3336C0003X
Community/Retail Pharmacy
Primary
PHY53783
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
2155256
PK
Enumeration date
11/23/2015
Last updated
02/20/2017
About Stedi
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