986 Pharmacy

LBN: Vincent Ly Pharmacy Incorporation
986 Pharmacy is an health care organization with primary practice located at 701 S Atlantic Blvd Ste 168 Suite 168, Monterey Park CA 91754-3866. 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. Vincent Ly Pharmacy Incorporation can be contacted via phone (626) 782-7800, or through Ly, Vincent via phone (626) 672-9220.

Contact Information

Primary practice address
701 S Atlantic Blvd Ste 168 Suite 168 Monterey Park CA 91754-3866
Fax: (626) 782-7755
Website:
Authorized official contact:
Name: Ly, Vincent

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X PHY54380 California

Profile Details

NPI number 1902251945
LBN Legal business name Vincent Ly Pharmacy Incorporation
DBA Doing business as 986 Pharmacy
Authorized official Ly, Vincent
Entity Organization
Organization subpart 1 No
Enumeration date Apr 27th, 2016
Last updated Feb 3rd, 2021 - about 3 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 1902251945 NPPES
Other 2159805 PK

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