Organization
P.S. ENTERPRISE, INC
Active
Other names
HUNTINGTON PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PHIC KAING LIM PHRM D (OWNER)
(626) 287-9921
Entity
Organization
Contact information
Practice address
2300 HUNTINGTON DR, SAN MARINO, CA 91108-2641
(626) 287-9921
(626) 285-0644
Mailing address
2300 HUNTINGTON DR, SAN MARINO, CA 91108-2641
(626) 287-9921
(626) 285-0644
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PHY45238
CA
3336C0004X
Compounding Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0524846
NCPDP PROVIDER IDENTIFICATION NUMBER
—
05
—
PHA452380
—
CA
Enumeration date
10/09/2006
Last updated
03/30/2011
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