Provider Demographics
NPI:1366587131
Name:DS DRUGS INC
Entity type:Organization
Organization Name:DS DRUGS INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SANDIP
Authorized Official - Middle Name:
Authorized Official - Last Name:SANGANI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:626-918-4300
Mailing Address - Street 1:1240 N HACIENDA BLVD
Mailing Address - Street 2:SUITE # 105
Mailing Address - City:LA PUENTE
Mailing Address - State:CA
Mailing Address - Zip Code:91744-1662
Mailing Address - Country:US
Mailing Address - Phone:626-918-4300
Mailing Address - Fax:626-918-4500
Practice Address - Street 1:1240 N HACIENDA BLVD STE 105
Practice Address - Street 2:
Practice Address - City:LA PUENTE
Practice Address - State:CA
Practice Address - Zip Code:91744-1663
Practice Address - Country:US
Practice Address - Phone:626-918-4300
Practice Address - Fax:626-918-4500
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-20
Last Update Date:2022-02-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPHY 538643336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA1366587131Medicaid
2123387OtherPK