986 Pharmacy 8001 INC
Pharmacy, Long Term Care Pharmacy in La Verne, CA. Organization (NPI-2).
NPI number1245604792
StatusActive
Last updated in NPPESJul 15, 2024
Details
- NPI
- 1245604792
- Entity type
- Organization (NPI-2)
- Legal business name
- 986 Pharmacy 8001 INC
- Organization subpart
- No
- Enumeration date
- Nov 20, 2015
- Certification date
- Jul 15, 2024
- Last updated
- Jul 15, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 3336L0003X | Pharmacy, Long Term Care Pharmacy | – | – | Yes |
| 333600000X | Pharmacy | – | – | |
| 3336C0003X | Pharmacy, Community/Retail Pharmacy | PHY53763 | CA |
Other names
- 986 Pharmacy (Doing Business As)
Practice location
2143 Foothill BlvdLa Verne, CA 91750-2942
Phone 909-596-6168 · Fax 909-596-6155
Mailing address
2143 Foothill BlvdLa Verne, CA 91750-2942
Phone 909-596-6168 · Fax 909-596-6155
Authorized official
Lilia Xu
Ceo
9095966168
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