Provider Demographics
NPI:1245078435
Name:NSN FAMILY INC
Entity type:Organization
Organization Name:NSN FAMILY INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:SALAN
Authorized Official - Middle Name:SO
Authorized Official - Last Name:THONG
Authorized Official - Suffix:
Authorized Official - Credentials:PHARMD
Authorized Official - Phone:909-570-9771
Mailing Address - Street 1:33490 OAK GLEN RD STE E
Mailing Address - Street 2:
Mailing Address - City:YUCAIPA
Mailing Address - State:CA
Mailing Address - Zip Code:92399-2095
Mailing Address - Country:US
Mailing Address - Phone:909-979-7868
Mailing Address - Fax:
Practice Address - Street 1:33490 OAK GLEN RD STE E
Practice Address - Street 2:
Practice Address - City:YUCAIPA
Practice Address - State:CA
Practice Address - Zip Code:92399-2095
Practice Address - Country:US
Practice Address - Phone:909-979-7868
Practice Address - Fax:909-570-9718
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-07-19
Last Update Date:2024-07-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336L0003XSuppliersPharmacyLong Term Care Pharmacy