Healthcare Provider Details

I. General information

NPI: 1982322871
Provider Name (Legal Business Name): HUTRX PHARMACY INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/17/2022
Last Update Date: 08/17/2022
Certification Date: 08/17/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

737 COLUSA AVE
YUBA CITY CA
95991-3734
US

IV. Provider business mailing address

737 COLUSA AVE
YUBA CITY CA
95991-3734
US

V. Phone/Fax

Practice location:
  • Phone: 530-674-3550
  • Fax: 530-673-6288
Mailing address:
  • Phone: 530-674-3550
  • Fax: 530-673-6288

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3336L0003X
TaxonomyLong Term Care Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: MR. HIENG U TANG
Title or Position: OWNER/MANAGER
Credential: PHARM. D
Phone: 530-674-3550