DONG TAM CORPORATION
10050 E Garvey Ave Ste 117
El Monte, CA 91733
626-448-9956
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
Y | 3336C0003X | Suppliers - Pharmacy - Community/Retail Pharmacy | CA | PHY44268 |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
PHA442680 | CA | MEDICAID | |
NABP | 0519617 | OTHER |