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GONZALEZ PHARMACY NPI 1568510576


NPI Information

NPI: 1568510576
Provider Name: GONZALEZ PHARMACY
Classification: Pharmacy - 3336L0003X
Entity Type: Organization

Specialization: Long Term Care Pharmacy

Address:
1240 N HACIENDA BLVD
STE 105
LA PUENTE, CA
ZIP 91744
Phone: (626) 221-2103
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GONZALEZ PHARMACY is a long term care pharmacy pharmacy in La Puente, CA. The provider is a pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements. GONZALEZ PHARMACY NPI is 1568510576. The provider is registered as an organization entity type.

The provider's business location address is:

1240 N HACIENDA BLVD
STE 105
LA PUENTE, CA
ZIP 91744-662
Phone: (626) 221-2103
Fax: (626) 918-4500

The provider's authorized official is Gabriel Kaishar .
The authorized official title is Owner Pic and has the following contact phone number (626) 221-2103.

The enumeration date for this NPI number is 1/8/2007 and was last updated on 8/22/2020.


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
13336L0003XPharmacyLong Term Care PharmacyPHY48213CALIFORNIAYes
23336M0003XPharmacyManaged Care Organization PharmacyX

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
15625061OTHEROTHER ID NUMBER-COMMERCIAL 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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