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Contact Information

VAN RX INC
14441 BROOKHURST ST STE 4
GARDEN GROVE, CA92843-4646
 Phone: 714-775-1789
 Fax: 714-775-0470
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Community/Retail Pharmacy

3336C0003X 58 Medical Supply Company with Pharmacist
 

Durable Medical Equipment & Medical Supplies

332B00000X 54 Other Medical Supply Company
 

Managed Care Organization Pharmacy

3336M0003X 58 Medical Supply Company with Pharmacist
 

Pharmacy

333600000X 58 Medical Supply Company with Pharmacist
Indicates primary specialty

NPI Profile & details for VAN RX INC

NPI Number 1588758031
LBN Legal business name VAN RX INC
Authorized official LISA NGUYEN - (CEO/PIC)
Entity Organization
Organization subpart 1 No
Enumeration date 10/02/2006
Last updated 10/30/2019 - About 7 years ago
Identifiers
CA License # PHY39430
CA Medicaid PHA394300
Other 0543771 NCPDP PROVIDER IDENTIFICATION NUMBER
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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