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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