Healthcare Provider Details

I. General information

NPI: 1144227307
Provider Name (Legal Business Name): MARC 1 DRUGS INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/02/2005
Last Update Date: 11/09/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1118 S GARFIELD AVE STE 101
ALHAMBRA CA
91801-4795
US

IV. Provider business mailing address

1118 S GARFIELD AVE STE 101
ALHAMBRA CA
91801-4795
US

V. Phone/Fax

Practice location:
  • Phone: 626-457-8878
  • Fax: 626-457-8658
Mailing address:
  • Phone: 626-457-8878
  • Fax: 626-457-8658

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code333600000X
TaxonomyPharmacy
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License NumberPHY46592
License Number StateCA

VIII. Authorized Official

Name: MARC HOANG
Title or Position: PRESIDENT
Credential:
Phone: 626-457-8878