| NPI | 1821349341 |
|---|---|
| Doing Business As | SAN GABRIEL MEDICAL COMPOUNDING PHARMACY |
| Entity Type | Organization |
| Authorized Contact | THI DANG Owner / PIC 626-593-2428 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0004X Pharmacy, Compounding Pharmacy (Licence: CA PHY51197) |
| Enumeration Date | 2012-09-24 |
| Last Update Date | 2015-03-30 |