Cbc Royalty Pharmacy

LBN: William Chung
Cbc Royalty Pharmacy is an health care organization with primary practice located at 1902 Royalty Dr Ste110, Pomona CA 91767-3030. 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. William Chung can be contacted via phone (909) 620-0343, or through Freed, Marla via phone (909) 982-4843.

Contact Information

Primary practice address
1902 Royalty Dr Ste110 Pomona CA 91767-3030
Phone: (909) 620-0343
Fax: (909) 629-1748
Website:
Map and Directions
Authorized official contact:
Name: Freed, Marla
Phone: (909) 982-4843

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X PHY40882 California

Profile Details

NPI number 1700878675
LBN Legal business name William Chung
DBA Doing business as Cbc Royalty Pharmacy
Authorized official Freed, Marla
Entity Organization
Organization subpart 1 No
Enumeration date Aug 17th, 2005
Last updated May 21st, 2014 - about 10 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 1700878675 NPPES
California MEDICAID PHA408820
California Other 2075322

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