Provider Demographics
NPI:1851365845
Name:DS PHARMACEUTICAL INC
Entity Type:Organization
Organization Name:DS PHARMACEUTICAL INC
Other - Org Name:LINHS PHARMACY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:DANH
Authorized Official - Middle Name:
Authorized Official - Last Name:QUACH
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:714-892-8773
Mailing Address - Street 1:9191 BOLSA AVE
Mailing Address - Street 2:STE 102
Mailing Address - City:WESTMINSTER
Mailing Address - State:CA
Mailing Address - Zip Code:92683-5564
Mailing Address - Country:US
Mailing Address - Phone:714-892-8773
Mailing Address - Fax:714-892-5513
Practice Address - Street 1:9191 BOLSA AVE
Practice Address - Street 2:STE 102
Practice Address - City:WESTMINSTER
Practice Address - State:CA
Practice Address - Zip Code:92683-5564
Practice Address - Country:US
Practice Address - Phone:714-892-8773
Practice Address - Fax:714-892-5513
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-02-15
Last Update Date:2013-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPHY32794333600000X
3336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes333600000XSuppliersPharmacy
No3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAPHA327940Medicaid
2002465OtherPK