Provider Demographics
NPI:1265285183
Name:DESIRGEND COMPANIES LLC
Entity type:Organization
Organization Name:DESIRGEND COMPANIES LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER/PHARMACIST-IN-CHARGE
Authorized Official - Prefix:DR
Authorized Official - First Name:HUY
Authorized Official - Middle Name:
Authorized Official - Last Name:DIEP
Authorized Official - Suffix:
Authorized Official - Credentials:PHARMD, RPH
Authorized Official - Phone:760-440-0103
Mailing Address - Street 1:1735 MAIN ST STE G
Mailing Address - Street 2:
Mailing Address - City:RAMONA
Mailing Address - State:CA
Mailing Address - Zip Code:92065-2286
Mailing Address - Country:US
Mailing Address - Phone:760-440-0103
Mailing Address - Fax:760-870-5316
Practice Address - Street 1:1735 MAIN ST STE G
Practice Address - Street 2:
Practice Address - City:RAMONA
Practice Address - State:CA
Practice Address - Zip Code:92065-2286
Practice Address - Country:US
Practice Address - Phone:760-440-0103
Practice Address - Fax:760-870-5316
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-04-10
Last Update Date:2025-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy