Organization
CNC PHARMACY INC
Active
Other names
Exclusive Medical Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
RACHEL CHHEK (CEO)
(626) 578-9991
Entity
Organization
Contact information
Practice address
65 N MADISON AVE, PASADENA, CA 91101
(626) 578-9991
(626) 578-9992
Mailing address
65 N MADISON AVE, PASADENA, CA 91101
(626) 578-9991
(626) 578-9992
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
PHY51082
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1750634192
—
CA
01
—
2137691
PK
—
Enumeration date
10/23/2012
Last updated
03/03/2022
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