Provider Demographics
NPI:1063396026
Name:DAWN PHARMACY
Entity type:Organization
Organization Name:DAWN PHARMACY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:TAMMY
Authorized Official - Middle Name:
Authorized Official - Last Name:NGUYEN
Authorized Official - Suffix:
Authorized Official - Credentials:PHARMD
Authorized Official - Phone:619-788-3167
Mailing Address - Street 1:4776 EL CAJON BLVD STE 105
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92115-4521
Mailing Address - Country:US
Mailing Address - Phone:619-287-1206
Mailing Address - Fax:619-287-8975
Practice Address - Street 1:4776 EL CAJON BLVD STE 105
Practice Address - Street 2:
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92115-4521
Practice Address - Country:US
Practice Address - Phone:619-287-1206
Practice Address - Fax:619-287-8975
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-08-04
Last Update Date:2025-08-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA1053378760OtherCURRENT NPI