Clover Care Pharmacy Inc

LBN: Clover Care Pharmacy Inc
Clover Care Pharmacy Inc is an health care organization with primary practice located at 266 S Harvard Blvd Ste 140 , Los Angeles CA 90004-4389. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Long Term Care Pharmacy. Suppliers / Long Term Care Pharmacy is the primary health care specialty. Clover Care Pharmacy Inc can be contacted via phone (213) 384-8763, or through Lee, Sang J. via phone (213) 384-8763.

Contact Information

Primary practice address
266 S Harvard Blvd Ste 140 Los Angeles CA 90004-4389
Fax: (213) 384-7521
Website:
Authorized official contact:
Name: Lee, Sang J.

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Long Term Care Pharmacy 3336L0003X

Profile Details

NPI number 1164042453
LBN Legal business name Clover Care Pharmacy Inc
DBA Doing business as Clover Care Pharmacy Inc
Authorized official Lee, Sang J.
Entity Organization
Organization subpart 1 No
Enumeration date Apr 16th, 2020
Last updated Apr 21st, 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 1164042453 NPPES
California Other 57713 BOARD OF PHARMACY PERMIT

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