Provider Demographics
NPI:1740374149
Name:BEST PHARMACY NGUYEN GIAO
Entity type:Organization
Organization Name:BEST PHARMACY NGUYEN GIAO
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHARMACIST OWNER
Authorized Official - Prefix:
Authorized Official - First Name:GIAO
Authorized Official - Middle Name:
Authorized Official - Last Name:NGUYEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:209-544-6155
Mailing Address - Street 1:PO BOX 1898
Mailing Address - Street 2:
Mailing Address - City:MODESTO
Mailing Address - State:CA
Mailing Address - Zip Code:95353-1898
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:639 PARADISE RD
Practice Address - Street 2:SUITE 5
Practice Address - City:MODESTO
Practice Address - State:CA
Practice Address - Zip Code:95351-3108
Practice Address - Country:US
Practice Address - Phone:209-544-6155
Practice Address - Fax:209-544-6122
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-03
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPHY410843336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
0503791OtherOTHER ID NUMBER-COMMERCIAL NUMBER