Diamond Square Pharmacy

LBN: Louis Chen
Diamond Square Pharmacy is an health care organization with primary practice located at 8150 Garvey Ave Ste 107, Rosemead CA 91770-2473. 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. Louis Chen can be contacted via phone (626) 288-8010, or through Chen, Louis via phone (626) 288-8010.

Contact Information

Primary practice address
8150 Garvey Ave Ste 107 Rosemead CA 91770-2473
Phone: (626) 288-8010
Fax: (626) 288-8505
Website:
Map and Directions
Authorized official contact:
Name: Chen, Louis
Phone: (626) 288-8010

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X PHY42884 California

Profile Details

NPI number 1598776171
LBN Legal business name Louis Chen
DBA Doing business as Diamond Square Pharmacy
Authorized official Chen, Louis
Entity Organization
Organization subpart 1 No
Enumeration date Aug 10th, 2006
Last updated Oct 6th, 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 1598776171 NPPES
Other 0545573 NCPDP PROVIDER IDENTIFICATION NUMBER
MEDICAID PHA428840 NCPDP PROVIDER IDENTIFICATION NUMBER

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