Clover Pharmacy Inc
Community/Retail Pharmacy
112 La Casa Via, Ste 100, Walnut Creek
California, 94598-3091
925-939-6311 925-939-5639
Clover Pharmacy Inc is a Community/Retail Pharmacy in Walnut Creek, California. It is located at 112 La Casa Via, Ste 100, Walnut Creek and it's customer support contact number is 925-939-6311. The authorized person of Clover Pharmacy Inc is Gerald Yu Tung who is President of the pharmacy and his contact number is 925-939-6311. Active license number of Clover Pharmacy Inc is PHY54381 for Community/Retail Pharmacy in California. Clover Pharmacy Inc accepts medicare which means medicare covered patients will not be billed for any more than the Medicare deductible and coinsurance.
Clover Pharmacy Inc 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.
Pharmacy Details:
Clover Pharmacy Inc 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: | Clover Pharmacy Inc |
| Type: | Community/Retail Pharmacy |
| Location: | 112 La Casa Via, Ste 100, Walnut Creek,
California, 94598-3091 |
| Phone: | 925-939-6311 |
| Fax: | 925-939-5639 |
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: | Gerald Yu Tung |
| Position: | President |
| Contact Number: | 925-939-6311 |
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: | 1063518082 |
| NPI Enumeration Date: | 16 Sep, 2006 |
| NPI Last Update On: | 29 Jan, 2018 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Clover Pharmacy Inc are as mentioned below.
| Specialization | License Number | State | Status | |
| Community/Retail Pharmacy | PHY54381 | California | Primary | |
| Pharmacy | | | Secondary | |
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 |
| 2159898 | Other | | Pk |
| 1063518082 | Medicaid | California | |
Medicare Enrollment:
Clover Pharmacy Inc 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 |
| 8224326533 | O20161019000473 | Clover Pharmacy Inc | DME SUPPLIER - PHARMACY |
| 8224326533 | O20170106001790 | Clover Pharmacy Inc | 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: | 112 La Casa Via, Ste 100
Walnut Creek, California |
| Zip: | 94598-3091 |
| Phone Number: | 925-939-6311 |
| Fax Number: | 925-939-5639 |
Patients can reach Clover Pharmacy Inc at
112 La Casa Via, Ste 100, Walnut Creek, California or can
call on customer care at 925-939-6311.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.