Koam Pharmacy

LBN: Koam Pharmacy Inc
Koam Pharmacy is an health care organization with primary practice located at 18102 Pioneer Blvd Ste 101, Artesia CA 90701-3953. The organization recently has 4 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy, Suppliers / Long Term Care Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Koam Pharmacy Inc can be contacted via phone (562) 402-3636, or through Kim, Kwang via phone (562) 402-3636.

Contact Information

Primary practice address
18102 Pioneer Blvd Ste 101 Artesia CA 90701-3953
Phone: (562) 402-3636
Fax: (562) 402-3676
Website:
Map and Directions
Authorized official contact:
Name: Kim, Kwang RPH
Phone: (562) 402-3636

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X PHY43380 California
Suppliers / Long Term Care Pharmacy 3336L0003X

Profile Details

NPI number 1518038215
LBN Legal business name Koam Pharmacy Inc
DBA Doing business as Koam Pharmacy
Authorized official Kim, Kwang RPH
Entity Organization
Organization subpart 1 No
Enumeration date Nov 13th, 2006
Last updated Feb 20th, 2017 - about 8 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 1518038215 NPPES
Other 1997467 PK
MEDICAID PHY433800 PK

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