Complete Care Compounding Pharmacy

LBN: Gong Pharmacist Professional Corporation
Complete Care Compounding Pharmacy is an health care organization with primary practice located at 315 S Diamond Bar Blvd Suite D , Diamond Bar CA 91765. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy, Suppliers / Compounding Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Gong Pharmacist Professional Corporation can be contacted via phone (909) 861-6900, or through Gong, Qiangsheng via phone (626) 519-1113.

Contact Information

Primary practice address
315 S Diamond Bar Blvd Suite D Diamond Bar CA 91765
Fax: (909) 861-6995
Website:
Authorized official contact:
Name: Gong, Qiangsheng PHARM D

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X 55711 California
Suppliers / Community/Retail Pharmacy 3336C0003X
Suppliers / Compounding Pharmacy 3336C0004X

Profile Details

NPI number 1376617803
LBN Legal business name Gong Pharmacist Professional Corporation
DBA Doing business as Complete Care Compounding Pharmacy
Authorized official Gong, Qiangsheng PHARM D
Entity Organization
Organization subpart 1 No
Enumeration date Nov 17th, 2006
Last updated Apr 20th, 2023 - about last year

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 1376617803 NPPES
Other 2113495 PK

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