Provider Demographics
NPI:1053790253
Name:DRUG PHARM INC.
Entity type:Organization
Organization Name:DRUG PHARM INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PHARMACIST IN CHARGE
Authorized Official - Prefix:
Authorized Official - First Name:NGOC
Authorized Official - Middle Name:
Authorized Official - Last Name:NGUYEN
Authorized Official - Suffix:
Authorized Official - Credentials:PHARM D
Authorized Official - Phone:559-940-4190
Mailing Address - Street 1:2407 JENSEN AVE STE 101
Mailing Address - Street 2:
Mailing Address - City:SANGER
Mailing Address - State:CA
Mailing Address - Zip Code:93657-2248
Mailing Address - Country:US
Mailing Address - Phone:559-399-8644
Mailing Address - Fax:559-399-8643
Practice Address - Street 1:2527 DEAUVILLE CIR
Practice Address - Street 2:
Practice Address - City:CLOVIS
Practice Address - State:CA
Practice Address - Zip Code:93619-2839
Practice Address - Country:US
Practice Address - Phone:559-940-4186
Practice Address - Fax:209-384-8881
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-05-21
Last Update Date:2015-05-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QC1500XAmbulatory Health Care FacilitiesClinic/CenterCommunity Health