West Covina Medical Center Pharmacy

LBN: West Covina Medical Center Inc
West Covina Medical Center Pharmacy is an health care organization with primary practice located at 725 S Orange Ave , West Covina CA 91790-2614. The organization recently has 4 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Compounding Pharmacy, Suppliers / Institutional Pharmacy, Suppliers / Long Term Care Pharmacy. Suppliers / Long Term Care Pharmacy is the primary health care specialty. West Covina Medical Center Inc can be contacted via phone (626) 502-1991, or through Koo, Paul via phone (626) 502-1991.

Contact Information

Primary practice address
725 S Orange Ave West Covina CA 91790-2614
Phone: (626) 502-1991
Fax: (626) 502-1971
Website:
Map and Directions
Authorized official contact:
Name: Koo, Paul
Phone: (626) 502-1991

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Compounding Pharmacy 3336C0004X
Suppliers / Institutional Pharmacy 3336I0012X
Suppliers / Long Term Care Pharmacy 3336L0003X 53643 California

Profile Details

NPI number 1922451905
LBN Legal business name West Covina Medical Center Inc
DBA Doing business as West Covina Medical Center Pharmacy
Authorized official Koo, Paul
Entity Organization
Organization subpart 1 No
Enumeration date Jul 14th, 2016
Last updated Apr 21st, 2017 - about 7 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 1922451905 NPPES
Other 2160697 PK

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