Organization
EMERALD HEALTHCARE PHARMACY CORP
Active
Other names
Grace Care Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
GEORGE CHU (PRESIDENT)
(626) 863-5674
Entity
Organization
Contact information
Practice address
3414 W BEVERLY BLVD, MONTEBELLO, CA 90640-1539
(323) 597-1188
Mailing address
3414 W BEVERLY BLVD, MONTEBELLO, CA 90640-1539
(323) 597-1188
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
53284
CA
3336C0003X
Community/Retail Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2155768
PK
—
Enumeration date
11/04/2015
Last updated
10/06/2016
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