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MAXSON MEDICAL PHARMACY INC NPI 1225135114


NPI Information

NPI: 1225135114
Provider Name: MAXSON MEDICAL PHARMACY INC
Classification: Pharmacy - 333600000X
Entity Type: Organization
Address:
933 SOUTH SUNSET AVE
WEST COVINA, CA
ZIP 91790
Phone: (626) 338-1143
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MAXSON MEDICAL PHARMACY INC is a pharmacy in West Covina, CA. The provider is a facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located. MAXSON MEDICAL PHARMACY INC NPI is 1225135114. The provider is registered as an organization entity type.

The provider's business location address is:

933 SOUTH SUNSET AVE
WEST COVINA, CA
ZIP 91790
Phone: (626) 338-1143
Fax: (626) 962-8007

The provider's authorized official is Kingkwan Law .
The authorized official title is President and has the following contact phone number (626) 338-1143.

The enumeration date for this NPI number is 9/20/2006 and was last updated on 4/10/2017.


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
1333600000XPharmacyPHY33095CALIFORNIAYes

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
10587381MEDICARE UPIN
2PHA330950MEDICAIDCALIFORNIA

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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