Kim Pharmacy

LBN: Kimpharmacy Js Inc
Kim Pharmacy is an health care organization with primary practice located at 9828 Garden Grove Blvd Suite 101, Garden Grove CA 92844-1639. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Kimpharmacy Js Inc can be contacted via phone (714) 534-4555, or through Song, Chaehoon via phone (714) 534-4555.

Contact Information

Primary practice address
9828 Garden Grove Blvd Suite 101 Garden Grove CA 92844-1639
Phone: (714) 534-4555
Fax: (714) 534-5127
Website:
Map and Directions
Authorized official contact:
Name: Song, Chaehoon R.PH
Phone: (714) 534-4555

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X PHY55367 California

Profile Details

NPI number 1396849345
LBN Legal business name Kimpharmacy Js Inc
DBA Doing business as Kim Pharmacy
Authorized official Song, Chaehoon R.PH
Entity Organization
Organization subpart 1 No
Enumeration date Sep 12th, 2006
Last updated Jul 21st, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1396849345 NPPES
California MEDICAID PHA323540
California Other 2001145

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