New Chinatown Pharmacy

LBN: Elton Y. Wong
New Chinatown Pharmacy is an health care organization with primary practice located at 719 E 12Th St , Oakland CA 94606-3624. The organization recently has only one registered license in Suppliers / Pharmacy, which is considered as the primary health care specialty. Elton Y. Wong can be contacted via phone (510) 839-8839, or through Wong, Elton Y via phone (510) 839-8839.

Contact Information

Primary practice address
719 E 12Th St Oakland CA 94606-3624
Phone: (510) 839-8839
Fax: (510) 839-8696
Website:
Map and Directions
Authorized official contact:
Name: Wong, Elton Y PHARM D
Phone: (510) 839-8839

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X PHY38028 California

Profile Details

NPI number 1649263302
LBN Legal business name Elton Y. Wong
DBA Doing business as New Chinatown Pharmacy
Authorized official Wong, Elton Y PHARM D
Entity Organization
Organization subpart 1 No
Enumeration date Aug 29th, 2005
Last updated Jun 16th, 2008 - about 18 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 1649263302 NPPES
Other 0579447 NCPDP
MEDICAID PHA380280 NCPDP

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