Organization
CHEMIQUE PHARMACEUTICALS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PHIL LOWELL MILLMAN PHARM.D. (PRESIDENT)
(562) 698-0921
Entity
Organization
Contact information
Practice address
176 UNIVERSITY PKWY, POMONA, CA 91768-4300
(909) 598-1229
(909) 594-4205
Mailing address
PO BOX 4369, WHITTIER, CA 90607-4369
(909) 598-1010
(909) 594-4205
Taxonomy
Speciality
Code
Description
License number
State
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
Primary
LSC99028
CA
3336C0003X
Community/Retail Pharmacy
PHY36675
CA
3336C0004X
Compounding Pharmacy
LSC99028
CA
3336H0001X
Home Infusion Therapy Pharmacy
LSC99028
CA
3336S0011X
Specialty Pharmacy
LSC99028
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PHA366750
—
CA
Enumeration date
01/24/2007
Last updated
01/12/2011
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