Manna Pharmacy

LBN: Lien Thi Khong
Manna Pharmacy is an health care organization with primary practice located at 10402 Westminster Ave Ste C, Garden Grove CA 92843-4861. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Lien Thi Khong can be contacted via phone (714) 534-4133, or through Phan, Susie via phone (949) 351-9776.

Contact Information

Primary practice address
10402 Westminster Ave Ste C Garden Grove CA 92843-4861
Phone: (714) 534-4133
Fax: (714) 534-4052
Website:
Map and Directions
Authorized official contact:
Name: Phan, Susie
Phone: (949) 351-9776

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X PHY50050 California

Profile Details

NPI number 1467434845
LBN Legal business name Lien Thi Khong
DBA Doing business as Manna Pharmacy
Authorized official Phan, Susie
Entity Organization
Organization subpart 1 No
Enumeration date Nov 18th, 2005
Last updated Dec 18th, 2016 - about 10 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1467434845 NPPES
Other 2122922 PK

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