<Unavail>

LBN: Modern Drug Inc
<Unavail> is an health care organization with primary practice located at 10672 Chapman Ave Ste 5 , Garden Grove CA 92840-3103. 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. Modern Drug Inc can be contacted via phone (714) 867-6502, or through Luong, Quoc via phone (714) 867-6502.

Contact Information

Primary practice address
10672 Chapman Ave Ste 5 Garden Grove CA 92840-3103
Phone: (714) 867-6502
Fax: (714) 867-6487
Website:
Map and Directions
Authorized official contact:
Name: Luong, Quoc
Phone: (714) 867-6502

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X 53920 California

Profile Details

NPI number 1447610191
LBN Legal business name Modern Drug Inc
DBA Doing business as <Unavail>
Authorized official Luong, Quoc
Entity Organization
Organization subpart 1 No
Enumeration date Feb 23rd, 2016
Last updated Oct 24th, 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 1447610191 NPPES
Other 2158307 PK
MEDICAID 2217241 PK

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