Organization
GLENDALE HAN KUK PHARMACY, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN R. YOO RPH (C.E.O)
(818) 637-7708
Entity
Organization
Contact information
Practice address
831 N PACIFIC AVE, SUITE #G, GLENDALE, CA 91203-3669
(818) 637-7708
(818) 637-7893
Mailing address
831 N PACIFIC AVE, SUITE #G, GLENDALE, CA 91203-3669
(818) 637-7708
(818) 637-7893
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PHY50927
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PHA436610
—
CA
Enumeration date
08/22/2006
Last updated
07/03/2012
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