National Provider Identifier Database

VAN PHARMACY
Pharmacy

A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located.


Contact Information

VAN PHARMACY
4502 N PERSHING AVE
#AB
STOCKTON, CA95207
Phone: 209-478-9868
Fax: 209-478-6930
Website:
Specialty Taxonomy Code
* Pharmacy 333600000X

* Indicates primary specialty

NPI Profile & details for VAN PHARMACY

NPI Number 1336221910
Legal business name
LBN
VAN PHARMACY
Authorized official VAN DANG - (PHARMACIST IN CHARGE OWNER)
Entity Organization
Organization subpart No
Enumeration date 10/20/2006
Last updated 02/14/2008 - About 18 years ago
Sole proprietor1 Not specified
Identifiers
  • CA License #: PHY41834
  • CA Medicaid: PHA418340
  • Other: RPH43745 PHARMACIST
  • Other: PHY41834 PHARMACY

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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