Healthcare Provider Details

I. General information

NPI: 1194712166
Provider Name (Legal Business Name): LIEN PHARMACY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/04/2005
Last Update Date: 07/09/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9008 GARVEY AVE STE A
ROSEMEAD CA
91770-3360
US

IV. Provider business mailing address

9008 GARVEY AVE STE A
ROSEMEAD CA
91770-3360
US

V. Phone/Fax

Practice location:
  • Phone: 626-280-7759
  • Fax: 626-280-8640
Mailing address:
  • Phone: 626-280-7759
  • Fax: 626-280-8640

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: MRS. JULIE LIENDINH NGUYEN
Title or Position: PHARMACIST OWNER
Credential: RPH
Phone: 626-280-7759