Provider Demographics
NPI:1245415306
Name:MEGA DRUGS LLC
Entity Type:Organization
Organization Name:MEGA DRUGS LLC
Other - Org Name:MEGA DRUGS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:
Authorized Official - First Name:AILAN
Authorized Official - Middle Name:
Authorized Official - Last Name:NGUYEN
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:408-283-9518
Mailing Address - Street 1:696 E SANTA CLARA ST
Mailing Address - Street 2:SUITE 111
Mailing Address - City:SAN JOSE
Mailing Address - State:CA
Mailing Address - Zip Code:95112-1911
Mailing Address - Country:US
Mailing Address - Phone:408-283-9518
Mailing Address - Fax:408-283-9519
Practice Address - Street 1:696 E SANTA CLARA ST
Practice Address - Street 2:SUITE 111
Practice Address - City:SAN JOSE
Practice Address - State:CA
Practice Address - Zip Code:95112-1911
Practice Address - Country:US
Practice Address - Phone:408-283-9518
Practice Address - Fax:408-283-9519
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-01-08
Last Update Date:2017-04-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
333600000X
CA508693336C0003X, 3336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No333600000XSuppliersPharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
2113066OtherPK