| NPI | 1588758031 |
|---|---|
| Doing Business As | VAN PHARMACY |
| Entity Type | Organization |
| Authorized Contact | LISA NGOC NGUYEN CEO/PIC 714-775-1789 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Additional Taxonomies | 3336M0003X Pharmacy, Managed Care Organization Pharmacy |
| 332B00000X Durable Medical Equipment & Medical Supplies | |
| 333600000X Pharmacy | |
| 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: CA PHY39430) | |
| Enumeration Date | 2006-10-02 |
| Last Update Date | 2019-10-30 |