Healthcare Provider Details

I. General information

NPI: 1669698742
Provider Name (Legal Business Name): AUDREY PHARMACY INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/18/2007
Last Update Date: 12/11/2025
Certification Date: 12/11/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9741 BOLSA AVE STE# 116
WESTMINSTER CA
92683-6601
US

IV. Provider business mailing address

12641 WYNANT DR
GARDEN GROVE CA
92841-4440
US

V. Phone/Fax

Practice location:
  • Phone: 714-531-1983
  • Fax: 714-531-1989
Mailing address:
  • Phone: 714-531-1983
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number48557
License Number StateCA

VIII. Authorized Official

Name: MS. AUDREY NGOCDAO VU
Title or Position: PRESIDENT
Credential: PHARM. D
Phone: 714-531-1983