Organization
VISITING NURSE HOME PHARMACY, LLC
Active
Organization
VISITING NURSE HOME PHARMACY, LLC
Active
Other names
Home Pharmacy of California
Organization subpart
No
Provider details
NPI number
Authorized official
KENNETH KANG (VP FINANCE & CFO)
(818) 843-6550
Entity
Organization
Contact information
Practice address
1026 N LAKE ST, BURBANK, CA 91502-1624
(818) 843-6550
(818) 843-6514
Mailing address
1026 N LAKE ST, BURBANK, CA 91502-1624
(818) 843-6550
(818) 843-6514
Taxonomy
Speciality
Code
Description
License number
State
3336H0001X
Home Infusion Therapy Pharmacy
Primary
PHY 36971
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PHA 369710
—
CA
Enumeration date
08/21/2007
Last updated
08/23/2007
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