Manna Pharmacy
LBN: Lien Thi Khong
Manna Pharmacy is an health care organization with primary practice located at 10402 Westminster Ave Ste C, Garden Grove CA 92843-4861. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty.
Lien Thi Khong can be contacted via phone (714) 534-4133, or through Phan, Susie via phone (949) 351-9776.
Contact Information
Primary practice address
10402 Westminster Ave Ste C
Garden Grove CA 92843-4861
Phone: (714) 534-4133
Fax: (714) 534-4052
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Suppliers / Pharmacy | 333600000X | ||
Suppliers / Community/Retail Pharmacy | 3336C0003X | PHY50050 | California |
Profile Details
NPI number | 1467434845 |
---|---|
LBN Legal business name | Lien Thi Khong |
DBA Doing business as | Manna Pharmacy |
Authorized official | Phan, Susie |
Entity | Organization |
Organization subpart 1 | No |
Enumeration date | Nov 18th, 2005 |
Last updated | Dec 18th, 2016 - about 8 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 | 1467434845 | NPPES |
Other | 2122922 | PK |
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