Gonzalez Pharmacy

LBN: Gonzalez Pharmacy
Gonzalez Pharmacy is an health care organization with primary practice located at 1240 N Hacienda Blvd Ste 105, La Puente CA 91744-1662. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Long Term Care Pharmacy, Suppliers / Managed Care Organization Pharmacy. Suppliers / Long Term Care Pharmacy is the primary health care specialty. Gonzalez Pharmacy can be contacted via phone (626) 221-2103, or through Kaishar, Gabriel via phone (626) 221-2103.

Contact Information

Primary practice address
1240 N Hacienda Blvd Ste 105 La Puente CA 91744-1662
Phone: (626) 221-2103
Fax: (626) 918-4500
Website:
Map and Directions
Authorized official contact:
Name: Kaishar, Gabriel RPH
Phone: (626) 221-2103

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Long Term Care Pharmacy 3336L0003X PHY48213 California
Suppliers / Managed Care Organization Pharmacy 3336M0003X

Profile Details

NPI number 1568510576
LBN Legal business name Gonzalez Pharmacy
DBA Doing business as
Authorized official Kaishar, Gabriel RPH
Entity Organization
Organization subpart 1 No
Enumeration date Jan 8th, 2007
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 1568510576 NPPES
Other 5625061 OTHER ID NUMBER-COMMERCIAL NUMBER

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