David Trieu Nguyen
Organization Active NPI Community/Retail Pharmacy · Sanger, CA
NPI 1679933535 · NPPES record last updated Apr 18, 2016
Key facts
- NPI
- 1679933535
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community/Retail Pharmacy 3336C0003X
- License
- PHY54339 (CA)
- Legal business name
- DAVID TRIEU NGUYEN
- Practice address
- 2407 Jensen Ave Ste 101
Sanger, CA 93657-2248 - Phone
- (559) 399-8644
- Fax
- (559) 399-8643
- NPI assigned
- Mar 3, 2016
- Organization subpart
- No
Authorized official
- Name
- Ba Huynh
- Title
- Manager
- Phone
- (559) 940-4186
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | |||
| Community/Retail Pharmacy | 3336C0003X | PHY54339 | CA | Yes |
| Compounding Pharmacy | 3336C0004X |
Addresses
Primary practice location
2407 Jensen Ave Ste 101
Sanger, CA 93657-2248
Mailing address
2407 Jensen Ave
Suite 101
Sanger, CA 93657-2248
Phone (559) 399-8644
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2158574 | Other | PK |
Other names
- EL PORTAL PHARMACY
Other providers in Sanger, CA
- City of Sanger Fire Department
- Classic Urgent Care a Medical Corporation
- Herbert Lance Crooks
- Daniel Cuellar
- Tram Ngoc Dang
- Ignacio N De Alba Ruiz
- Vanessa De Loera
- Deogsoo Roh, DDS, Inc
- Jasmit Kaur Dhaliwal
- Kanwer S Dhami
All providers in Sanger, CA · Community/Retail Pharmacy in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 18, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.