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Organization
WEST COVINA PHARMACY INC
Active
Organization
WEST COVINA PHARMACY INC
Active
Other names
WEST COVINA PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
CHEUK LEW (RPH)
(626) 839-9882
Entity
Organization
Contact information
Practice address
1661 HANOVER RD, STE 104B, CITY OF INDUSTRY, CA 91748-1796
(626) 839-9882
(626) 839-9166
Mailing address
1661 HANOVER RD, STE 104B, CITY OF INDUSTRY, CA 91748-1796
(626) 839-9882
(626) 839-9166
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PHY46101
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1997674
PK
—
05
—
PHA461010
—
CA
Enumeration date
08/31/2006
Last updated
12/13/2016
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