Organization Name: | DUNG NGOC PHAN |
NPI Number: | 1053378760 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | DUNG NGOC PHAN (PHARMACIST IN CHARGE OWNER) |
Mailing Address: | 4776 El Cajon Blvd #105 San Diego |
State: | CA US |
Postal Code: | 921154521 |
Phone Number: | 6192871206 |
Fax Number: | 6192878975 |
NPI Enumeration Date: | 04/27/2006 |
NPI Last Update Date: | 07/16/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 333600000X |
License Number: | PHY43530 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Suppliers |
Taxonomy Classification: | Pharmacy |
Taxonomy Specialization: | |
Taxonomy Definition: | A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located. |