Sycamore Medical Pharmacy

LBN: Shumwong Corporation
Sycamore Medical Pharmacy is an health care organization with primary practice located at 2485 High School Ave Suite 114, Concord CA 94520-1819. The organization recently has only one registered license in Suppliers / Community/Retail Pharmacy, which is considered as the primary health care specialty. Shumwong Corporation can be contacted via phone (925) 682-5600, or through Wong, Brian Randall via phone (925) 682-5600.

Contact Information

Primary practice address
2485 High School Ave Suite 114 Concord CA 94520-1819
Phone: (925) 682-5600
Fax: (925) 682-0609
Website:
Map and Directions
Authorized official contact:
Name: Wong, Brian Randall M.S., RPH
Phone: (925) 682-5600

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Community/Retail Pharmacy 3336C0003X PHY30974 California

Profile Details

NPI number 1497800825
LBN Legal business name Shumwong Corporation
DBA Doing business as Sycamore Medical Pharmacy
Authorized official Wong, Brian Randall M.S., RPH
Entity Organization
Organization subpart 1 No
Enumeration date Jan 24th, 2007
Last updated Mar 7th, 2023 - about 3 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 1497800825 NPPES
Other 0550916 NCPDP
Other PHY30874 NCPDP
MEDICAID PHA308740 NCPDP

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