Provider Demographics
NPI:1316585169
Name:GALAXY INVESTMENT PHARMACY INC
Entity Type:Organization
Organization Name:GALAXY INVESTMENT PHARMACY INC
Other - Org Name:GALAXY PHARMACY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT/PIC
Authorized Official - Prefix:MR
Authorized Official - First Name:CHINH
Authorized Official - Middle Name:T
Authorized Official - Last Name:NGUYEN
Authorized Official - Suffix:
Authorized Official - Credentials:PHARM D
Authorized Official - Phone:562-446-0433
Mailing Address - Street 1:10879 LOS ALAMITOS BLVD
Mailing Address - Street 2:
Mailing Address - City:LOS ALAMITOS
Mailing Address - State:CA
Mailing Address - Zip Code:90720-2329
Mailing Address - Country:US
Mailing Address - Phone:562-446-0433
Mailing Address - Fax:562-446-0425
Practice Address - Street 1:10879 LOS ALAMITOS BLVD
Practice Address - Street 2:
Practice Address - City:LOS ALAMITOS
Practice Address - State:CA
Practice Address - Zip Code:90720-2329
Practice Address - Country:US
Practice Address - Phone:562-446-0433
Practice Address - Fax:562-446-0425
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-12-11
Last Update Date:2020-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA57380OtherBOARD OF PHARMACY PERMIT