Kim Son Pharmacy

LBN: Kim Son Pharmacy
Kim Son Pharmacy is an health care organization with primary practice located at 625 E Valley Blvd Suite J, San Gabriel CA 91776-3591. The organization recently has only one registered license in Suppliers / Community/Retail Pharmacy, which is considered as the primary health care specialty. Kim Son Pharmacy can be contacted via phone (626) 571-5967, or through Nguyen, Kim Chi via phone (626) 571-5967.

Contact Information

Primary practice address
625 E Valley Blvd Suite J San Gabriel CA 91776-3591
Phone: (626) 571-5967
Fax: (626) 571-5968
Website:
Map and Directions
Authorized official contact:
Name: Nguyen, Kim Chi
Phone: (626) 571-5967

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Community/Retail Pharmacy 3336C0003X

Profile Details

NPI number 1578642245
LBN Legal business name Kim Son Pharmacy
DBA Doing business as
Authorized official Nguyen, Kim Chi
Entity Organization
Organization subpart 1 No
Enumeration date Nov 3rd, 2006
Last updated Feb 19th, 2009 - about 15 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 1578642245 NPPES
California MEDICAID PHA345770
California Other 0578522

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