Pacific Pharmacy

LBN: Pacific Pharmacy Inc.
Pacific Pharmacy is an health care organization with primary practice located at 207 S Santa Anita Ave Suite G-10, San Gabriel CA 91776-1146. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Community/Retail Pharmacy, Suppliers / Long Term Care Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Pacific Pharmacy Inc. can be contacted via phone (626) 281-6800, or through Ung, Lynn via phone (626) 281-6800.

Contact Information

Primary practice address
207 S Santa Anita Ave Suite G-10 San Gabriel CA 91776-1146
Phone: (626) 281-6800
Fax: (626) 281-6696
Website:
Map and Directions
Authorized official contact:
Name: Ung, Lynn R. PH
Phone: (626) 281-6800

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Community/Retail Pharmacy 3336C0003X PHA467170 California
Suppliers / Long Term Care Pharmacy 3336L0003X PHA467170 California

Profile Details

NPI number 1700808649
LBN Legal business name Pacific Pharmacy Inc.
DBA Doing business as Pacific Pharmacy
Authorized official Ung, Lynn R. PH
Entity Organization
Organization subpart 1 No
Enumeration date Jul 23rd, 2006
Last updated Aug 26th, 2011 - about 14 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 1700808649 NPPES
California MEDICAID PHA467170

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