Koam Pharmacy Ltc Inc

LBN: Koam Pharmacy Ltc Inc
Koam Pharmacy Ltc Inc is an health care organization with primary practice located at 18102 Pioneer Blvd Ste 102 , Artesia CA 90701-4400. The organization recently has 2 registered licenses in different health care specialties including Agencies / Hospice Care, Community Based, Suppliers / Long Term Care Pharmacy. Suppliers / Long Term Care Pharmacy is the primary health care specialty. Koam Pharmacy Ltc Inc can be contacted via phone (562) 402-0400, or through Kim, Kwang Ja via phone (562) 402-4922.

Contact Information

Primary practice address
18102 Pioneer Blvd Ste 102 Artesia CA 90701-4400
Phone: (562) 402-0400
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Kim, Kwang Ja
Phone: (562) 402-4922

Health care specialties

SpecialtyCodeLicense #State
Agencies / Hospice Care, Community Based 251G00000X
Suppliers / Long Term Care Pharmacy 3336L0003X

Profile Details

NPI number 1033678248
LBN Legal business name Koam Pharmacy Ltc Inc
DBA Doing business as
Authorized official Kim, Kwang Ja
Entity Organization
Organization subpart 1 No
Enumeration date Mar 18th, 2019
Last updated Nov 27th, 2023 - about 2 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 1033678248 NPPES
California MEDICAID 1033678248

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