Organization
PNK PHARMACY, INC.
Active
Other names
TLC MEDICAL ARTS PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
KAMLESH TRIKAMBHAI MANIA (OWNER)
(626) 338-7233
Entity
Organization
Contact information
Practice address
1500 W WEST COVINA PKWY, STE 100, WEST COVINA, CA 91790-2708
(626) 338-7233
(626) 338-7255
Mailing address
1500 W WEST COVINA PKWY, STE 100, WEST COVINA, CA 91790-2708
(626) 338-7233
(626) 338-7255
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
53822
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5624730
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
12/26/2006
Last updated
02/01/2017
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