# UNITED MEDCARE

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Phoenix Pharmacy
- **Organization subpart:** No

## Provider details

- **NPI number:** 1184127805
- **Authorized official:** FUNG-WAH LAM (PRESIDENT)
- **Authorized official phone:** (213) 482-0644

## Contact information

- **Practice address:** 1127 WILSHIRE BLVD STE 201, LOS ANGELES, CA 90017-3903
- **Practice address phone:** (213) 482-0644
- **Practice address fax:** (213) 482-0668
- **Mailing address:** 1127 WILSHIRE BLVD STE 201, LOS ANGELES, CA 90017-3903
- **Mailing address phone:** (213) 482-0644
- **Mailing address fax:** (213) 482-0668

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 333600000X | Pharmacy | — | NULL | — |
| 3336L0003X | Long Term Care Pharmacy | 55401 | CA | Yes |

## Other

- **Enumeration date:** 03/09/2018
- **Last updated:** 06/22/2021

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 2176314 | PK | — |