Covina Pharmacy

LBN: Covina Pharmacy Inc
Covina Pharmacy is an health care organization with primary practice located at 174 W Badillo St , Covina CA 91723-2015. 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. Covina Pharmacy Inc can be contacted via phone (626) 915-6615, or through Chang, Virginia via phone (626) 915-6615.

Contact Information

Primary practice address
174 W Badillo St Covina CA 91723-2015
Phone: (626) 915-6615
Fax: (626) 339-6357
Website:
Map and Directions
Authorized official contact:
Name: Chang, Virginia
Phone: (626) 915-6615

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X PHY31167 California

Profile Details

NPI number 1518015510
LBN Legal business name Covina Pharmacy Inc
DBA Doing business as Covina Pharmacy
Authorized official Chang, Virginia
Entity Organization
Organization subpart 1 No
Enumeration date Jan 8th, 2007
Last updated Aug 29th, 2011 - about 15 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 1518015510 NPPES
California MEDICAID PHA311670
California Other 0582557

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