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DUNG NGOC PHAN NPI 1053378760


NPI Information

NPI: 1053378760
Provider Name: DUNG NGOC PHAN

Doing Business As: DAWN PHARMACY

Classification: Pharmacy - 3336C0003X
Entity Type: Organization

Specialization: Community/Retail Pharmacy

Address:
4776 EL CAJON BLVD
#105
SAN DIEGO, CA
ZIP 92115
Phone: (619) 287-1206
Get Directions

DUNG NGOC PHAN is a community/retail pharmacy pharmacy in San Diego, CA. The provider is a pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes. DUNG NGOC PHAN NPI is 1053378760. The provider is registered as an organization entity type.
The provider Is Doing Business As Dawn Pharmacy.

The provider's business location address is:

4776 EL CAJON BLVD
#105
SAN DIEGO, CA
ZIP 92115-521
Phone: (619) 287-1206
Fax: (619) 287-8975

The provider's authorized official is Dung Ngoc Phan .
The authorized official title is Pharmacist In Charge Owner and has the following contact phone number (619) 287-1206.

The enumeration date for this NPI number is 4/27/2006 and was last updated on 3/14/2022.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1333600000XPharmacyPHY43530CALIFORNIANo
23336C0003XPharmacyCommunity/Retail PharmacyYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
10580072OTHERNABP NUMBER
2PHY435300MEDICAIDCALIFORNIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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