Provider Demographics
NPI:1366677684
Name:BTN PHARMACY INC
Entity Type:Organization
Organization Name:BTN PHARMACY INC
Other - Org Name:BTN PHARMACY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO / PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:BICH-HONG
Authorized Official - Middle Name:
Authorized Official - Last Name:BUI-TRAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:626-214-2562
Mailing Address - Street 1:280 S LEMON AVE
Mailing Address - Street 2:# 1053
Mailing Address - City:WALNUT
Mailing Address - State:CA
Mailing Address - Zip Code:91788-2685
Mailing Address - Country:US
Mailing Address - Phone:626-214-2562
Mailing Address - Fax:626-332-2566
Practice Address - Street 1:1433 N HOLLENBECK AVE
Practice Address - Street 2:STE 103
Practice Address - City:COVINA
Practice Address - State:CA
Practice Address - Zip Code:91722-1558
Practice Address - Country:US
Practice Address - Phone:626-214-2562
Practice Address - Fax:626-332-2566
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-05-17
Last Update Date:2016-07-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA498383336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
2120304OtherPK