Healthcare Provider Details

I. General information

NPI: 1265084990
Provider Name (Legal Business Name): VN CARE PHARMACY, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/12/2019
Last Update Date: 02/19/2024
Certification Date: 02/19/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12505 BEACH BLVD STE A2
STANTON CA
90680-4020
US

IV. Provider business mailing address

12505 BEACH BLVD STE A2
STANTON CA
90680-4020
US

V. Phone/Fax

Practice location:
  • Phone: 714-584-9599
  • Fax: 714-248-9115
Mailing address:
  • Phone: 714-584-9599
  • Fax: 714-248-9115

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: DR. ANDREW H NGUYEN
Title or Position: PRESIDENT/RPH
Credential:
Phone: 714-584-9599