Organization
AVICURE PHARMACY INC
Active
Organization
AVICURE PHARMACY INC
Active
Other names
New Life Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
INSEON CHUNG RPH (OWNER / PIC)
(626) 839-3000
Entity
Organization
Contact information
Practice address
1722 DESIRE AVE STE 103, ROWLAND HEIGHTS, CA 91748-2969
(626) 839-3000
(626) 521-5283
Mailing address
1722 DESIRE AVE, STE 103, ROWLAND HEIGHTS, CA 91748-2968
(626) 839-3000
(626) 521-5283
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PHY48793
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1215115159
—
CA
01
—
2113564
PK
—
Enumeration date
02/01/2008
Last updated
07/19/2018
Update your record
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