Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days.
Organization
M&I ENTERPRISES,INC
Active
Organization
M&I ENTERPRISES,INC
Active
Other names
St.Luke Professional Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MAT(MAN) Y JUNG PHARMACIST (PRESIDENT)
(626) 791-7595
Entity
Organization
Contact information
Practice address
2750 E-WASHINGTON BLVD, SUITE 150, PASADENA, CA 91107
(626) 791-7595
(626) 791-3564
Mailing address
2750 E-WASHINGTON BLVD., SUITE 150, PASADENA, CA 91107
(626) 791-7595
(626) 791-3564
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
39452
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0581872
NABP NUMBER
CA
01
—
BS0693095
D.E.A NUMBER
CA
05
—
PHA365570
—
CA
01
—
PHY36557
PHARMACY PERMIT NUMBER
CA
Enumeration date
02/13/2007
Last updated
08/22/2020
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up