Clover Pharmacy Inc

LBN: Clover Pharmacy Inc
Clover Pharmacy Inc is an health care organization with primary practice located at 112 La Casa Via Ste 100, Walnut Creek CA 94598-3091. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Clover Pharmacy Inc can be contacted via phone (925) 939-6311, or through Tung, Gerald Yu via phone (925) 939-6311.

Contact Information

Primary practice address
112 La Casa Via Ste 100 Walnut Creek CA 94598-3091
Phone: (925) 939-6311
Fax: (925) 939-5639
Website:
Map and Directions
Authorized official contact:
Name: Tung, Gerald Yu
Phone: (925) 939-6311

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X PHY54381 California

Profile Details

NPI number 1063518082
LBN Legal business name Clover Pharmacy Inc
DBA Doing business as
Authorized official Tung, Gerald Yu
Entity Organization
Organization subpart 1 No
Enumeration date Sep 16th, 2006
Last updated Jan 29th, 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 1063518082 NPPES
Other 2159898 PK
MEDICAID 1063518082 PK

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