Organization
CHEN ENTERPRISES INC
Active
Other names
Primary Care Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
SAMUEL CHEN (PRESIDENT)
(559) 452-0420
Entity
Organization
Contact information
Practice address
5551 E KINGS CANYON RD, STE 101, FRESNO, CA 93727-4531
(559) 452-0420
Mailing address
5551 E KINGS CANYON RD, STE 101, FRESNO, CA 93727-4531
(559) 452-0420
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PHY49184
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1093961211
—
CA
01
—
2116689
PK
—
Enumeration date
08/08/2008
Last updated
03/30/2016
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