Organization
AMERICANA APOTHECARY INC
Active
Other names
CENTURY MEDICAL PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
PING CHAN (OWNER)
(323) 264-7311
Entity
Organization
Contact information
Practice address
4057 WHITTIER BLVD, LOS ANGELES, CA 90023-2536
(323) 264-7311
(323) 266-8202
Mailing address
4057 WHITTIER BLVD, LOS ANGELES, CA 90023-2536
(323) 264-7311
(323) 266-8202
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PHY47349
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0535368
NCPDP PROVIDER IDENTIFICATION NUMBER
—
05
—
PHA473490
—
CA
Enumeration date
08/31/2006
Last updated
12/07/2009
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