Tana Pharmacy

LBN: Kim Toan T Do
Tana Pharmacy is an health care organization with primary practice located at 10512 Bolsa Ave Ste 104, Westminster CA 92683-6727. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Pharmacy is the primary health care specialty. Kim Toan T Do can be contacted via phone (714) 554-4121, or through Do, Kim-Toan Thi via phone (714) 374-1383.

Contact Information

Primary practice address
10512 Bolsa Ave Ste 104 Westminster CA 92683-6727
Fax: (714) 554-2150
Website:
Authorized official contact:
Name: Do, Kim-Toan Thi PHARMACIST

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X PHY34579 California
Suppliers / Community/Retail Pharmacy 3336C0003X

Profile Details

NPI number 1972596062
LBN Legal business name Kim Toan T Do
DBA Doing business as Tana Pharmacy
Authorized official Do, Kim-Toan Thi PHARMACIST
Entity Organization
Organization subpart 1 No
Enumeration date Aug 24th, 2005
Last updated Jun 23rd, 2022 - about 2 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 1972596062 NPPES
Other 4354650001 MEDICARE ID
MEDICAID PHA345790 MEDICARE ID

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