<Unavail>
LBN: Grace Community Pharmacy, Inc.
<Unavail> is an health care organization with primary practice located at 4881 La Palma Ave. , La Palma CA 90623. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty.
Grace Community Pharmacy, Inc. can be contacted via phone (562) 860-0586, or through Park, Minjung K. via phone (562) 860-0586.
Contact Information
Primary practice address
4881 La Palma Ave.
La Palma CA 90623
Phone: (562) 860-0586
Fax: (562) 860-0767
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Durable Medical Equipment & Medical Supplies | 332B00000X | ||
| Suppliers / Pharmacy | 333600000X | ||
| Suppliers / Community/Retail Pharmacy | 3336C0003X |
Profile Details
| NPI number | 1801047964 |
|---|---|
| LBN Legal business name | Grace Community Pharmacy, Inc. |
| DBA Doing business as | <Unavail> |
| Authorized official | Park, Minjung K. RPH, PH.D. |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Oct 8th, 2008 |
| Last updated | Oct 31st, 2022 - about 4 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1801047964 | NPPES |
| California | MEDICAID | 1801047964 |
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