Organization
NEW 1 PHARMACY INC
Active
Other names
Nogales Medical Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
GRACE CHANGCHIEN (PHCY OWNER)
(626) 307-5517
Entity
Organization
Contact information
Practice address
2707 E VALLEY BLVD, UNIT 100, WEST COVINA, CA 91792-3195
(626) 965-9727
(626) 965-1661
Mailing address
808 E VALLEY BLVD, SAN GABRIEL, CA 91776-3607
(626) 307-5517
(626) 307-0893
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
49066
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5632129
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
08/19/2008
Last updated
10/01/2013
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