Exclusive Prescription And Wellness Phcy

LBN: Exclusive Prescription And Wellness Phcy
Exclusive Prescription And Wellness Phcy is an health care organization with primary practice located at 65 N Madison Ave , Pasadena CA 91101-2035. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Pharmacy is the primary health care specialty. Exclusive Prescription And Wellness Phcy can be contacted via phone (626) 793-3536, or through Kim, Jonas via phone (626) 644-3103.

Contact Information

Primary practice address
65 N Madison Ave Pasadena CA 91101-2035
Fax: (626) 793-3360
Website:
Authorized official contact:
Name: Kim, Jonas PHARM D

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X PHY44807 California
Suppliers / Community/Retail Pharmacy 3336C0003X

Profile Details

NPI number 1427069053
LBN Legal business name Exclusive Prescription And Wellness Phcy
DBA Doing business as
Authorized official Kim, Jonas PHARM D
Entity Organization
Organization subpart 1 No
Enumeration date Aug 10th, 2006
Last updated Aug 22nd, 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 1427069053 NPPES
California MEDICAID PHA448070
California Other 0554990

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