<Unavail>

LBN: Goose Pharma, Llc
<Unavail> is an health care organization with primary practice located at 18049 Magnolia Street , Fountain Valley CA 92708. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Community/Retail Pharmacy, Suppliers / Specialty Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Goose Pharma, Llc can be contacted via phone (510) 610-1336, or through Dang, Jenny via phone (510) 610-1336.

Contact Information

Primary practice address
18049 Magnolia Street Fountain Valley CA 92708
Phone: (510) 610-1336
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Dang, Jenny PHARMD.
Phone: (510) 610-1336

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Community/Retail Pharmacy 3336C0003X California
Suppliers / Specialty Pharmacy 3336S0011X California

Profile Details

NPI number 1144746348
LBN Legal business name Goose Pharma, Llc
DBA Doing business as <Unavail>
Authorized official Dang, Jenny PHARMD.
Entity Organization
Organization subpart 1 No
Enumeration date Aug 18th, 2017
Last updated Aug 18th, 2017 - about 9 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

Request for update

Popular Providers