Healthcare Provider Details

I. General information

NPI: 1023010923
Provider Name (Legal Business Name): TANBINH PHARMACY INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/11/2005
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

15434 BROOKHURST ST
WESTMINSTER CA
92683-7057
US

IV. Provider business mailing address

15434 BROOKHURST ST
WESTMINSTER CA
92683-7057
US

V. Phone/Fax

Practice location:
  • Phone: 714-531-8275
  • Fax: 714-531-8275
Mailing address:
  • Phone: 714-531-8275
  • Fax: 714-531-8275

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code333600000X
TaxonomyPharmacy
License NumberPHY45764
License Number StateCA

VIII. Authorized Official

Name: MRS. CAROLINE LE NGUYEN
Title or Position: PHARMACIST PRESIDENT
Credential: R PH
Phone: 714-531-8275