Organization
PARAGON COMPOUNDING PHARMACY, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOSEPHHUNG TRAN NGUYEN PHARM D (CEO)
(714) 388-6488
Entity
Organization
Contact information
Practice address
1585 WEST BROADWAY SUITE A, ANAHEIM, CA 92802
(714) 707-5099
(714) 707-4051
Mailing address
PO BOX 937, ANAHEIM, CA 92815-0937
(714) 707-5099
(714) 707-4051
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
55967
PHARMACY LICENSE
CA
Enumeration date
09/11/2015
Last updated
02/18/2025
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