Provider Demographics
NPI:1801886031
Name:CATINAT PHARMACY INC
Entity type:Organization
Organization Name:CATINAT PHARMACY INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/CEO
Authorized Official - Prefix:
Authorized Official - First Name:THUY-VY
Authorized Official - Middle Name:HOANG
Authorized Official - Last Name:NGUYEN
Authorized Official - Suffix:
Authorized Official - Credentials:PHARM D
Authorized Official - Phone:714-531-3560
Mailing Address - Street 1:9549 BOLSA AVE STE A
Mailing Address - Street 2:
Mailing Address - City:WESTMINSTER
Mailing Address - State:CA
Mailing Address - Zip Code:92683-5968
Mailing Address - Country:US
Mailing Address - Phone:714-531-3560
Mailing Address - Fax:714-531-4601
Practice Address - Street 1:9549 BOLSA AVE STE A
Practice Address - Street 2:
Practice Address - City:WESTMINSTER
Practice Address - State:CA
Practice Address - Zip Code:92683-5968
Practice Address - Country:US
Practice Address - Phone:714-531-3560
Practice Address - Fax:714-531-4601
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-10-27
Last Update Date:2023-12-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes3336C0003XSuppliersPharmacyCommunity/Retail PharmacyGroup - Single Specialty
No333600000XSuppliersPharmacyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAPHY58939OtherBOARD OF PHARMACY
CA1139750001Medicare NSC