Pomona Pharmacy

LBN: Gisele Nguyen Inc
Pomona Pharmacy is an health care organization with primary practice located at 1182 E Holt Ave Ste A, Pomona CA 91767-5833. 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. Gisele Nguyen Inc can be contacted via phone (909) 620-6580, or through Nguyen, Gisele via phone (904) 620-6580.

Contact Information

Primary practice address
1182 E Holt Ave Ste A Pomona CA 91767-5833
Phone: (909) 620-6580
Fax: (909) 620-6651
Website:
Map and Directions
Authorized official contact:
Name: Nguyen, Gisele PHARM D
Phone: (904) 620-6580

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X PHY48761 California

Profile Details

NPI number 1831170075
LBN Legal business name Gisele Nguyen Inc
DBA Doing business as Pomona Pharmacy
Authorized official Nguyen, Gisele PHARM D
Entity Organization
Organization subpart 1 No
Enumeration date Nov 6th, 2005
Last updated Oct 15th, 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 1831170075 NPPES
Other 0595477 NCPDP PROVIDER IDENTIFICATION NUMBER
MEDICAID PHA397660 NCPDP PROVIDER IDENTIFICATION NUMBER

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