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WEST COVINA MEDICAL CENTER INC NPI 1922451905


NPI Information

NPI: 1922451905
Provider Name: WEST COVINA MEDICAL CENTER INC

Doing Business As: WEST COVINA MEDICAL CENTER PHARMACY

Classification: Pharmacy - 3336L0003X
Entity Type: Organization

Specialization: Long Term Care Pharmacy

Address:
725 S ORANGE AVE
WEST COVINA, CA
ZIP 91790
Phone: (626) 502-1991
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WEST COVINA MEDICAL CENTER INC is a long term care pharmacy pharmacy in West Covina, 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. WEST COVINA MEDICAL CENTER INC NPI is 1922451905. The provider is registered as an organization entity type.
The provider Is Doing Business As West Covina Medical Center Pharmacy.

The provider's business location address is:

725 S ORANGE AVE
WEST COVINA, CA
ZIP 91790-614
Phone: (626) 502-1991
Fax: (626) 502-1971

The provider's authorized official is Paul Koo .
The authorized official title is Pic and has the following contact phone number (626) 502-1991.

The enumeration date for this NPI number is 7/14/2016 and was last updated on 4/21/2017.


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
13336I0012XPharmacyInstitutional PharmacyNo
23336C0004XPharmacyCompounding PharmacyNo
3333600000XPharmacyNo
43336L0003XPharmacyLong Term Care Pharmacy53643CALIFORNIAYes

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
12160697OTHERPK

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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