Provider Demographics
NPI:1124194477
Name:ONE-STOP PHARMACY CORPORATION
Entity Type:Organization
Organization Name:ONE-STOP PHARMACY CORPORATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:HELEN
Authorized Official - Middle Name:
Authorized Official - Last Name:TANG
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:530-673-5158
Mailing Address - Street 1:1040 COLUSA AVE
Mailing Address - Street 2:
Mailing Address - City:YUBA CITY
Mailing Address - State:CA
Mailing Address - Zip Code:95991-3631
Mailing Address - Country:US
Mailing Address - Phone:530-673-5158
Mailing Address - Fax:530-673-5239
Practice Address - Street 1:1040 COLUSA AVE
Practice Address - Street 2:
Practice Address - City:YUBA CITY
Practice Address - State:CA
Practice Address - Zip Code:95991-3631
Practice Address - Country:US
Practice Address - Phone:530-673-5158
Practice Address - Fax:530-673-5239
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-28
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPHY 46339183500000X
CA332BX2000X
CAPHY463393336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Not Answered183500000XPharmacy Service ProvidersPharmacistGroup - Single Specialty
Not Answered332BX2000XSuppliersDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies
Not Answered3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAPHA463390OtherMEDI-CAL PROVIDER NUMBER
CAPHA463390OtherMEDI-CAL PROVIDER NUMBER