Organization
NEW-1 PHARMACY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. YUEH CHEAU GRACE CHANGCHIEN R.PH (PHARMACY OWNER)
(626) 307-5517
Entity
Organization
Contact information
Practice address
808 E VALLEY BLVD, SAN GABRIEL, CA 91776-3607
(626) 307-5517
(626) 307-0893
Mailing address
808 E VALLEY BLVD, SAN GABRIEL, CA 91776-3607
(626) 307-5517
(626) 307-0893
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PHY41511
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1801914056
—
CA
Enumeration date
03/26/2007
Last updated
03/03/2022
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