San Dimas Pharmacy
LBN: Grace Healthcare Solutions Inc
San Dimas Pharmacy is an health care organization with primary practice located at 1330 W Covina Blvd Ste 100 , San Dimas CA 91773-3200. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Clinic Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty.
Grace Healthcare Solutions Inc can be contacted via phone (909) 599-8369, or through Chen, Shih-Ping via phone (909) 599-8369.
Contact Information
Primary practice address
1330 W Covina Blvd Ste 100
San Dimas CA 91773-3200
Phone: (909) 599-8369
Fax: (909) 599-8360
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Pharmacy | 333600000X | ||
| Suppliers / Clinic Pharmacy | 3336C0002X | ||
| Suppliers / Community/Retail Pharmacy | 3336C0003X |
Profile Details
| NPI number | 1649215179 |
|---|---|
| LBN Legal business name | Grace Healthcare Solutions Inc |
| DBA Doing business as | San Dimas Pharmacy |
| Authorized official | Chen, Shih-Ping PHARM D |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jun 18th, 2006 |
| Last updated | Feb 14th, 2022 - about 3 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1649215179 | NPPES |
| California | MEDICAID | 1649215179 | |
| California | Other | PHY57952 |
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