6122Pharmacy

LBN: 6122Pharmacy
6122Pharmacy is an health care organization with primary practice located at 6122 Whittier Blvd , Los Angeles CA 90022-4504. The organization recently has only one registered license in Suppliers / Community/Retail Pharmacy, which is considered as the primary health care specialty. 6122Pharmacy can be contacted via phone (323) 725-1250, or through Kong, Carl via phone (323) 725-1250.

Contact Information

Primary practice address
6122 Whittier Blvd Los Angeles CA 90022-4504
Phone: (323) 725-1250
Fax: (323) 726-9091
Website:
Map and Directions
Authorized official contact:
Name: Kong, Carl PHD
Phone: (323) 725-1250

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Community/Retail Pharmacy 3336C0003X PHY30457 California

Profile Details

NPI number 1124141270
LBN Legal business name 6122Pharmacy
DBA Doing business as
Authorized official Kong, Carl PHD
Entity Organization
Organization subpart 1 No
Enumeration date Apr 6th, 2007
Last updated Aug 22nd, 2020 - about 6 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 1124141270 NPPES
California MEDICAID PHA304570

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