Provider Demographics
NPI:1427275528
Name:CHOONG ANG PHARMACY INC
Entity type:Organization
Organization Name:CHOONG ANG PHARMACY INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:BYOUNG
Authorized Official - Middle Name:
Authorized Official - Last Name:HUN AN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:408-260-9911
Mailing Address - Street 1:2344 EL CAMINO REAL
Mailing Address - Street 2:STE 114
Mailing Address - City:SANTA CLARA
Mailing Address - State:CA
Mailing Address - Zip Code:95050-4072
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:2344 EL CAMINO REAL
Practice Address - Street 2:STE 114
Practice Address - City:SANTA CLARA
Practice Address - State:CA
Practice Address - Zip Code:95050-4072
Practice Address - Country:US
Practice Address - Phone:408-260-9911
Practice Address - Fax:408-260-9919
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-19
Last Update Date:2007-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPHY483873336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
5626342OtherOTHER ID NUMBER
5626342OtherOTHER ID NUMBER-COMMERCIAL NUMBER