Puente Hills Pharmacy

LBN: Puente Hills Pharmacy
Puente Hills Pharmacy is an health care organization with primary practice located at 1850 S Azusa Ave Suite 101, Hacienda Heights CA 91745-6813. The organization recently has only one registered license in Suppliers / Community/Retail Pharmacy, which is considered as the primary health care specialty. Puente Hills Pharmacy can be contacted via phone (626) 912-3311, or through Wong, Raymond via phone (626) 912-3311.

Contact Information

Primary practice address
1850 S Azusa Ave Suite 101 Hacienda Heights CA 91745-6813
Phone: (626) 912-3311
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Wong, Raymond PHARM.D.
Phone: (626) 912-3311

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Community/Retail Pharmacy 3336C0003X PHY35041 California

Profile Details

NPI number 1003943739
LBN Legal business name Puente Hills Pharmacy
DBA Doing business as
Authorized official Wong, Raymond PHARM.D.
Entity Organization
Organization subpart 1 No
Enumeration date Feb 28th, 2007
Last updated May 28th, 2015 - about 10 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 1003943739 NPPES
California MEDICAID PHA350410

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