Organization
DATE PHARMACY INC
Active
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
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up