Fishers Brea Pharmacy

LBN: Garrick Shum
Fishers Brea Pharmacy is an health care organization with primary practice located at 385 W Central Ave Ste E, Brea CA 92821-3000. The organization recently has only one registered license in Suppliers / Community/Retail Pharmacy, which is considered as the primary health care specialty. Garrick Shum can be contacted via phone (714) 529-2113, or through Shum, Garrick via phone (714) 925-2622.

Contact Information

Primary practice address
385 W Central Ave Ste E Brea CA 92821-3000
Phone: (714) 529-2113
Fax: (714) 529-5614
Website:
Map and Directions
Authorized official contact:
Name: Shum, Garrick
Phone: (714) 925-2622

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Community/Retail Pharmacy 3336C0003X PHY48760 California

Profile Details

NPI number 1609924604
LBN Legal business name Garrick Shum
DBA Doing business as Fishers Brea Pharmacy
Authorized official Shum, Garrick
Entity Organization
Organization subpart 1 No
Enumeration date Jan 8th, 2007
Last updated Aug 18th, 2010 - about 16 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 1609924604 NPPES
Other 0505632 OTHER ID NUMBER
Other 0505632 OTHER ID NUMBER
MEDICAID PHA454610 OTHER ID NUMBER

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