Ecoterra Hoilistic Pharmacy

LBN: Sung Sohn
Ecoterra Hoilistic Pharmacy is an health care organization with primary practice located at 1 N Indian Hill Blvd Ste 101 , Claremont CA 91711-4769. The organization recently has only one registered license in Suppliers / Compounding Pharmacy, which is considered as the primary health care specialty. Sung Sohn can be contacted via phone (909) 624-8580, or through Sohn, Myra via phone (909) 624-8580.

Contact Information

Primary practice address
1 N Indian Hill Blvd Ste 101 Claremont CA 91711-4769
Phone: (909) 624-8580
Fax: (909) 624-8615
Website:
Map and Directions
Authorized official contact:
Name: Sohn, Myra
Phone: (909) 624-8580

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Compounding Pharmacy 3336C0004X PHY48921 California

Profile Details

NPI number 1780903286
LBN Legal business name Sung Sohn
DBA Doing business as Ecoterra Hoilistic Pharmacy
Authorized official Sohn, Myra
Entity Organization
Organization subpart 1 No
Enumeration date May 24th, 2010
Last updated Nov 10th, 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 1780903286 NPPES
Other 5637941 NCPDP PROVIDER IDENTIFICATION NUMBER

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