New Life Pharmacy

LBN: Avicure Pharmacy Inc
New Life Pharmacy is an health care organization with primary practice located at 1722 Desire Ave Ste 103 , Rowland Heights CA 91748-2969. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Avicure Pharmacy Inc can be contacted via phone (626) 839-3000, or through Chung, Inseon via phone (626) 839-3000.

Contact Information

Primary practice address
1722 Desire Ave Ste 103 Rowland Heights CA 91748-2969
Fax: (626) 521-5283
Website:
Authorized official contact:
Name: Chung, Inseon RPH

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X PHY48793 California

Profile Details

NPI number 1215115159
LBN Legal business name Avicure Pharmacy Inc
DBA Doing business as New Life Pharmacy
Authorized official Chung, Inseon RPH
Entity Organization
Organization subpart 1 No
Enumeration date Feb 1st, 2008
Last updated Jul 19th, 2018 - about 6 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1215115159 NPPES
Other 2113564 PK
MEDICAID 1215115159 PK

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