Imperial Pharmacy

LBN: Kwangsun C Shin
Imperial Pharmacy is an health care organization with primary practice located at 15074 Imperial Hwy , La Mirada CA 90638-1301. 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. Kwangsun C Shin can be contacted via phone (562) 902-5580, or through Shin, Kwangsun via phone (562) 902-5580.

Contact Information

Primary practice address
15074 Imperial Hwy La Mirada CA 90638-1301
Phone: (562) 902-5580
Fax: (562) 902-5589
Website:
Map and Directions
Authorized official contact:
Name: Shin, Kwangsun
Phone: (562) 902-5580

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X PHY46563 California

Profile Details

NPI number 1316044159
LBN Legal business name Kwangsun C Shin
DBA Doing business as Imperial Pharmacy
Authorized official Shin, Kwangsun
Entity Organization
Organization subpart 1 No
Enumeration date Sep 20th, 2006
Last updated Dec 1st, 2016 - about 9 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 1316044159 NPPES
Other 2112601 PK
MEDICAID PHA465630 PK

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