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PNK PHARMACY INC. NPI 1114082542


NPI Information

NPI: 1114082542
Provider Name: PNK PHARMACY, INC.

Doing Business As: TLC MEDICAL ARTS PHARMACY

Classification: Pharmacy - 3336C0003X
Entity Type: Organization

Specialization: Community/Retail Pharmacy

Address:
1500 W WEST COVINA PKWY
STE 100
WEST COVINA, CA
ZIP 91790
Phone: (626) 338-7233
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PNK PHARMACY, INC. is a community/retail pharmacy pharmacy in West Covina, CA. The provider is a pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes. PNK PHARMACY, INC. NPI is 1114082542. The provider is registered as an organization entity type.
The provider Is Doing Business As Tlc Medical Arts Pharmacy.

The provider's business location address is:

1500 W WEST COVINA PKWY
STE 100
WEST COVINA, CA
ZIP 91790-708
Phone: (626) 338-7233
Fax: (626) 338-7255

The provider's authorized official is Kamlesh Trikambhai Mania .
The authorized official title is Owner and has the following contact phone number (626) 338-7233.

The enumeration date for this NPI number is 12/26/2006 and was last updated on 2/1/2017.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
13336C0003XPharmacyCommunity/Retail Pharmacy53822CALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
17573540001MEDICARE NSCCALIFORNIA
25624730OTHERNCPDP PROVIDER IDENTIFICATION NUMBER

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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