Organization
986 SPECIALTY PHARMACY PASADENA INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SIMON CHAN (VP)
(626) 798-6789
Entity
Organization
Contact information
Practice address
1719 E WALNUT ST, PASADENA, CA 91106-1611
(626) 798-6789
(626) 798-8376
Mailing address
1719 E WALNUT ST, PASADENA, CA 91106-1611
(626) 798-6789
(626) 798-8376
Taxonomy
Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
Primary
—
—
Other
Enumeration date
08/05/2020
Last updated
12/30/2021
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