# FORTUNE PHARMACY INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1497572234
- **Authorized official:** KAM GUO (PIC)
- **Authorized official phone:** (626) 458-8909

## Contact information

- **Practice address:** 330 S GARFIELD AVE STE 104, ALHAMBRA, CA 91801-3893
- **Practice address phone:** (626) 458-8909
- **Practice address fax:** (626) 458-8950
- **Mailing address:** 330 S GARFIELD AVE STE 104, ALHAMBRA, CA 91801-3893

## Taxonomy

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

## Other

- **Enumeration date:** 09/23/2024
- **Last updated:** 09/23/2024