Organization
DOCTORS HOSPITAL OF WEST COVINA, INC.
Active
Other names
Doctors Hospital of West Covina Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PAUL KOO PHARMD (PHARMACY DIRECTOR)
(626) 338-8481
Entity
Organization
Contact information
Practice address
725 S ORANGE AVE, WEST COVINA, CA 91790-2614
(626) 338-8481
(626) 960-9178
Mailing address
725 S ORANGE AVE, WEST COVINA, CA 91790-2614
(626) 338-8481
(626) 960-9178
Taxonomy
Speciality
Code
Description
License number
State
3336I0012X
Institutional Pharmacy
Primary
HSP36739
CA
3336L0003X
Long Term Care Pharmacy
HSP36739
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PHB367390
—
CA
Enumeration date
08/04/2006
Last updated
06/05/2014
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