Angkor Pharmacy is an authorized DME supplier for medicare equipments and products.
Angkor Pharmacy is a Long Term Care Pharmacy in Stockton, California. This pharmacy is owned and operated by Bunnaun Uch. It is located at 4555 N Pershing Ave, Ste 7, Stockton and it's customer support contact number is 209-888-2099. The authorized person of Angkor Pharmacy is Bunnaun Uch who is Owner/pic of the pharmacy and his contact number is 209-888-2099.Angkor Pharmacy accepts medicare which means medicare covered patients will not be billed for any more than the Medicare deductible and coinsurance. Angkor Pharmacy is a pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities for mentally retarded, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements.
Pharmacy Details:
Angkor Pharmacy type, location, contact phone number and fax are as below. Patients can directly walkin to the pharmacy or can call on the below given customer support phone number for enquiries.
Name:
Angkor Pharmacy
Type:
Long Term Care Pharmacy
Location:
4555 N Pershing Ave, Ste 7, Stockton, California, 95207-6740
Phone:
209-888-2099
Fax:
209-888-2105
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this pharmacy is as below. Person's position and contact details are also mentioned below.
Name:
Bunnaun Uch
Position:
Owner/pic
Contact Number:
209-888-2099
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details of given pharmacy are as mentioned below.
NPI Number:
1306939749
NPI Enumeration Date:
30 Sep, 2006
NPI Last Update On:
15 Jun, 2020
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Angkor Pharmacy are as mentioned below.
Specialization
License Number
State
Status
Long Term Care Pharmacy
Primary
Other Medical Identifiers:
Other legacy medical identifiers of the pharmacy such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
2151610
Other
Pk
PHA532620
Medicaid
California
Medicare Enrollment:
Angkor Pharmacy is enrolled in medicare and it's Pac Id, enrollment Id, registered name and type is as stated below.
PAC ID:
Enrollment ID:
Org Name
Medicare Entity Type
7214246206
O20151013002071
Bunnaun Uch
PART B SUPPLIER - MASS IMMUNIZATION (ROSTER BILLER ONLY)
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
4555 N Pershing Ave, Ste 7 Stockton, California
Zip:
95207-6740
Phone Number:
209-473-4706
Fax Number:
209-473-7377
Patients can reach Angkor Pharmacy at 4555 N Pershing Ave, Ste 7, Stockton, California or can call on customer care at 209-888-2099.
Comments/ Reviews:
*Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 13 May, 2024.
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