Angkor Pharmacy

LBN: Bunnaun Uch
Angkor Pharmacy is an health care organization with primary practice located at 4555 N Pershing Ave Ste 7 , Stockton CA 95207-6739. The organization recently has only one registered license in Suppliers / Long Term Care Pharmacy, which is considered as the primary health care specialty. Bunnaun Uch can be contacted via phone (209) 888-2099, or through Uch, Bunnaun via phone (209) 888-2099.

Contact Information

Primary practice address
4555 N Pershing Ave Ste 7 Stockton CA 95207-6739
Phone: (209) 888-2099
Fax: (209) 888-2105
Website:
Map and Directions
Authorized official contact:
Name: Uch, Bunnaun
Phone: (209) 888-2099

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Long Term Care Pharmacy 3336L0003X

Profile Details

NPI number 1699285973
LBN Legal business name Bunnaun Uch
DBA Doing business as Angkor Pharmacy
Authorized official Uch, Bunnaun
Entity Organization
Organization subpart 1 No
Enumeration date Oct 2nd, 2017
Last updated Jun 15th, 2020 - about 4 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 1699285973 NPPES
California Other PHY53262 CA BOARD OF PHARMACY

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