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Organization

GOLDEN ELITE PHARMACY, INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. ROSARIO R QUINIO (PHARMACY MANAGER)
(626) 576-2418
Entity
Organization

Contact information

Practice address
2048 PEPPER ST, ALHAMBRA, CA 91801
(626) 576-2418
(626) 576-5804
Mailing address
2048 PEPPER ST, ALHAMBRA, CA 91801-3162
(626) 576-2418
(626) 576-5804

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
32301
CA
310400000X
Assisted Living Facility
3104A0625X
Assisted Living Facility (Mental Illness)
3104A0630X
Assisted Living Facility (Behavioral Disturbances)
310500000X
Mental Illness Intermediate Care Facility
313M00000X
Nursing Facility/Intermediate Care Facility
315P00000X
Intellectual Disabilities Intermediate Care Facility
3336L0003X
Long Term Care Pharmacy
Primary
41642
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
PHA416420
CA
Enumeration date
12/14/2006
Last updated
05/18/2018
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