Organization
LOUIS CHEN
Active
Other names
DIAMOND SQUARE PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
LOUIS CHEN (OWNER)
(626) 288-8010
Entity
Organization
Contact information
Practice address
8150 GARVEY AVE, STE 107, ROSEMEAD, CA 91770-2473
(626) 288-8010
(626) 288-8505
Mailing address
8150 GARVEY AVE, STE 107, ROSEMEAD, CA 91770-2473
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PHY42884
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0545573
NCPDP PROVIDER IDENTIFICATION NUMBER
—
05
—
PHA428840
—
CA
Enumeration date
08/10/2006
Last updated
10/06/2009
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