Organization
KAJU PHARMACY INC
Active
Other names
KAJU PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
SCOTT KIM RPH (OWNER AND PIC)
(714) 539-6631
Entity
Organization
Contact information
Practice address
8887 GARDEN GROVE BLVD, GARDEN GROVE, CA 92844-1249
(714) 539-6631
(714) 539-6660
Mailing address
8887 GARDEN GROVE BLVD, GARDEN GROVE, CA 92844-1249
(714) 539-6631
(714) 539-6660
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
36955
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1993898
PK
—
05
—
PHA369550
—
CA
Enumeration date
09/30/2006
Last updated
04/16/2021
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