MEDICARE: CANOGA PHARMACY,INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	183500000X	Pharmacist	RPH48165	CA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1255332565
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CANOGA PHARMACY,INC

Provider Business Mailing Address
First Line	:	9646 GARVEY AVE
Second Line	:	SUITE 103
City	:	S EL MONTE
State	:	CA
Zip	:	91733-1098
Country	:	US
Telephone Number	:	626-575-6012
Fax Number	:	626-575-6024

Provider Business Practice Location Address
First Line	:	9646 GARVEY AVE
Second Line	:	SUITE 103
City	:	S EL MONTE
State	:	CA
Zip	:	91733-1098
Country	:	US
Telephone Number	:	626-575-6012
Fax Number	:	626-575-6024

Authorized Official
Title or Position	:	PRESIDENT & CEO
Name	:	MRS. THUY THI NGUYEN
Credential	:	PHARMACIST
Telephone Number	:	626-575-6012

Provider Enumeration Date	:	08/09/2005
Last Update Date	:	08/22/2020

Similar Medicare Providers

1518959295 — DR. BONNIE JEAN LEES MD
Practice Location Address:

8200 DODGE STREET , CHILDREN'S HOSPITAL & MEDICARE CENTER
OMAHA, NE
68114-4113

Practice Phone: 402-955-6140
Practice Fax: 402-955-3398

1770633133 — TAN VAN NGUYEN MD, INC.
Practice Location Address:

9646 GARVEY AVE , SUITE#101
S EL MONTE, CA
91733-1098

Practice Phone: 626-450-0777
Practice Fax: 626-450-0776

1770923781 — BECKY MCQUAIN PT
Practice Location Address:

1098 PALMVIEW AVE
EL CENTRO, CA
92243-9148

Practice Phone: 321-698-7520
Practice Fax:

1437141033 — DR. WENDY HON CHOW D.C.
Practice Location Address:

9324 GARVEY AVE , SUITE A
S EL MONTE, CA
91733-1088

Practice Phone: 626-279-1821
Practice Fax:

1427046168 — DR. NAOMI C CHAO PH.D.
Practice Location Address:

1224 SANTA ANITA AVE , SUITE B1
S EL MONTE, CA
91733-3842

Practice Phone: 626-688-1275
Practice Fax: 951-827-2015

1558316158 — DR. SIMON S PAN
Practice Location Address:

9328 GARVEY AVE , SUITE #A
S EL MONTE, CA
91733-4602

Practice Phone: 626-350-0588
Practice Fax: 626-350-0989

Directions to “CANOGA PHARMACY,INC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.