San Gabriel Medical Pharmacy
LBN: Dang Pharmacy Group Inc
San Gabriel Medical Pharmacy is an health care organization with primary practice located at 1250 S Sunset Ave Ste 207 , West Covina CA 91790-3962. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty.
Dang Pharmacy Group Inc can be contacted via phone (626) 960-8696, or through Dang, Thi via phone (626) 960-8696.
Contact Information
Primary practice address
1250 S Sunset Ave Ste 207
West Covina CA 91790-3962
Phone: (626) 960-8696
Fax: (626) 960-8749
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Durable Medical Equipment & Medical Supplies | 332B00000X | ||
| Suppliers / Pharmacy | 333600000X | ||
| Suppliers / Community/Retail Pharmacy | 3336C0003X | PHY48959 | California |
Profile Details
| NPI number | 1053596361 |
|---|---|
| LBN Legal business name | Dang Pharmacy Group Inc |
| DBA Doing business as | San Gabriel Medical Pharmacy |
| Authorized official | Dang, Thi PHARMD |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jan 4th, 2008 |
| Last updated | Jul 8th, 2014 - about 10 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1053596361 | NPPES |
| Other | 2121289 | PK | |
| MEDICAID | 1053596361 | PK |
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