# 986 SPECIALTY PHARMACY PASADENA INC

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

## Provider details

- **NPI number:** 1770193641
- **Authorized official:** SIMON CHAN (VP)
- **Authorized official phone:** (626) 798-6789

## Contact information

- **Practice address:** 1719 E WALNUT ST, PASADENA, CA 91106-1611
- **Practice address phone:** (626) 798-6789
- **Practice address fax:** (626) 798-8376
- **Mailing address:** 1719 E WALNUT ST, PASADENA, CA 91106-1611
- **Mailing address phone:** (626) 798-6789
- **Mailing address fax:** (626) 798-8376

## Taxonomy

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

## Other

- **Enumeration date:** 08/05/2020
- **Last updated:** 12/30/2021