Organization
TAO DAN PHARMACY, INC.
Active
Other names
Tao Dan Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DUNG THU NGUYEN PHARM.D (PRESIDENT/ PHARMACIST IN CHARGE)
(714) 323-3864
Entity
Organization
Contact information
Practice address
15342 MONTPELLIER AVE, IRVINE, CA 92604-3130
(714) 323-3864
Mailing address
15342 MONTPELLIER AVE, IRVINE, CA 92604-3130
(714) 323-3864
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
PHY47231
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PHA472310
—
CA
Enumeration date
10/04/2005
Last updated
12/30/2011
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