| NPI | 1578631719 |
|---|---|
| Doing Business As | DONG TAM PHARMACY |
| Entity Type | Organization |
| Authorized Contact | LUONG T. NGUYEN President/CEO/Rph 626-573-2929 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| 333600000X Pharmacy | |
| Enumeration Date | 2006-12-04 |
| Last Update Date | 2020-01-09 |