Organization
GREATER VALLEY PHARMACY
Active
Organization
GREATER VALLEY PHARMACY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WING DONG (CEO)
(909) 598-9885
Entity
Organization
Contact information
Practice address
1135 S SUNSET AVE STE 101, WEST COVINA, CA 91790-3938
(626) 962-4899
(626) 813-2943
Mailing address
1135 S SUNSET AVE STE 101, WEST COVINA, CA 91790-3938
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
PHY47052
CA
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0591847
OTHER ID NUMBER-COMMERCIAL NUMBER
—
Enumeration date
07/30/2006
Last updated
09/11/2025
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