Provider Demographics
NPI:1568117174
Name:KHANG PHARMACY LLC
Entity Type:Organization
Organization Name:KHANG PHARMACY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:DAI
Authorized Official - Middle Name:NGOCQUOC
Authorized Official - Last Name:TRAN
Authorized Official - Suffix:
Authorized Official - Credentials:PHARMD
Authorized Official - Phone:408-622-8068
Mailing Address - Street 1:2451 S KING RD STE A1
Mailing Address - Street 2:
Mailing Address - City:SAN JOSE
Mailing Address - State:CA
Mailing Address - Zip Code:95122-2540
Mailing Address - Country:US
Mailing Address - Phone:408-622-8068
Mailing Address - Fax:408-622-8042
Practice Address - Street 1:2451 S KING RD STE A1
Practice Address - Street 2:
Practice Address - City:SAN JOSE
Practice Address - State:CA
Practice Address - Zip Code:95122-2540
Practice Address - Country:US
Practice Address - Phone:408-622-8068
Practice Address - Fax:408-622-8042
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-02-14
Last Update Date:2022-12-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No333600000XSuppliersPharmacyGroup - Single Specialty