Organization
COVINA PHARMACY INC
Active
Other names
COVINA PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
VIRGINIA CHANG (PHRM)
(626) 915-6615
Entity
Organization
Contact information
Practice address
174 W BADILLO ST, COVINA, CA 91723-2015
(626) 915-6615
(626) 339-6357
Mailing address
174 W BADILLO ST, COVINA, CA 91723-2015
(626) 915-6615
(626) 339-6357
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PHY31167
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0582557
NCPDP PROVIDER IDENTIFICATION NUMBER
—
05
—
PHA311670
—
CA
Enumeration date
01/08/2007
Last updated
08/29/2011
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