NPI Provider: 1790783025
Contact Name: Truong Thuc Viet
Position: Pharmacy Owner
Phone: (619) 563-8212
Viet’s Pharmacy Information:
Viet’s Pharmacy organization have npi 1790783025, taxonomy code is 333600000X with license number is PHY22258 in . This Business address located in 4616 El Cajon Blvd, San Diego, CA 92115 California.
Practice Location
Address: 4616 El Cajon Blvd, San Diego, CA 92115
Phone: (619) 563-8212
Business Location
Address: 4616 El Cajon Blvd, San Diego, CA 92115
Phone: (619) 563-8212
Fax: (619) 563-8211
Taxonomy
Taxonomy Code: 333600000X
License Number: PHY22258
License Number of State: CA
Primary Taxonomy Switch: Y
Enumeration Date: 7/11/2005
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