Organization
BKNC PHARMACIES INC
Active
Other names
COMPTON COMM PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
BHARAT GANDHI (PHCY TECH)
(562) 676-8138
Entity
Organization
Contact information
Practice address
555 W COMPTON BLVD, STE 102, COMPTON, CA 90220-3085
(310) 537-2337
(310) 537-2359
Mailing address
555 W COMPTON BLVD, STE 102, COMPTON, CA 90220-3085
(310) 537-2337
(310) 537-2359
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PHY48194
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5623360
NCPDP PROVIDER IDENTIFICATION NUMBER
—
05
—
PHA481940
—
CA
Enumeration date
09/12/2006
Last updated
09/15/2010
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