Organization
KELLY ROSEMEAD PHARMACY INC
Active
Organization
KELLY ROSEMEAD PHARMACY INC
Active
Other names
Rosemead Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TAI CAO TRAN PHARM D (PHARM D PRESIDENT)
(626) 286-2184
Entity
Organization
Contact information
Practice address
8901 E VALLEY BLVD, ROSEMEAD, CA 91770-1831
(626) 286-2184
(626) 286-8043
Mailing address
8901 E VALLEY BLVD, ROSEMEAD, CA 91770-1831
(626) 286-2184
(626) 286-8043
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PHA371790
—
CA
Enumeration date
12/12/2006
Last updated
08/22/2020
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