Khanh Pharmacy

LBN: Khanh Pharmacy
Khanh Pharmacy is an health care organization with primary practice located at 4575 El Cajon Blvd. Ste#C, San Diego CA 92115-4390. The organization recently has 2 registered licenses in different health care specialties including Pharmacy Service Providers / Pharmacist, Pharmacy Service Providers / Pharmacy Technician. Pharmacy Service Providers / Pharmacist is the primary health care specialty. Khanh Pharmacy can be contacted via phone (619) 280-0199, or through Le, Diana via phone (619) 280-0199.

Contact Information

Primary practice address
4575 El Cajon Blvd. Ste#C San Diego CA 92115-4390
Phone: (619) 280-0199
Fax: (619) 280-0089
Website:
Map and Directions
Authorized official contact:
Name: Le, Diana RPH
Phone: (619) 280-0199

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X RPH 46144 California
Pharmacy Service Providers / Pharmacy Technician 183700000X TCH 31900 California

Profile Details

NPI number 1417932807
LBN Legal business name Khanh Pharmacy
DBA Doing business as
Authorized official Le, Diana RPH
Entity Organization
Organization subpart 1 No
Enumeration date Dec 8th, 2005
Last updated Aug 22nd, 2020 - about 4 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1417932807 NPPES
California MEDICAID PHY454530

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