Gardena Medical Pharmacy
LBN: Soon R Chung
Gardena Medical Pharmacy is an health care organization with primary practice located at 1045 W Redondo Beach Blvd Suite 300, Gardena CA 90247-4128. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Community/Retail Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty.
Soon R Chung can be contacted via phone (310) 515-6570, or through Chung, Soon R via phone (310) 515-6570.
Contact Information
Primary practice address
1045 W Redondo Beach Blvd Suite 300
Gardena CA 90247-4128
Phone: (310) 515-6570
Fax: (310) 515-6549
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Durable Medical Equipment & Medical Supplies | 332B00000X | ||
| Suppliers / Community/Retail Pharmacy | 3336C0003X | PHY48764 | California |
Profile Details
| NPI number | 1003851320 |
|---|---|
| LBN Legal business name | Soon R Chung |
| DBA Doing business as | Gardena Medical Pharmacy |
| Authorized official | Chung, Soon R R.PH |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jun 19th, 2006 |
| Last updated | Mar 7th, 2023 - about last year |
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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1003851320 | NPPES |
| Other | 0570158 | NCPDP PROVIDER IDENTIFICATION NUMBER |
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