Grand Ave Pharmacy is not a DME supplier for medicare equipments and products.
Grand Ave Pharmacy is a Pharmacy in Los Angeles, California. This pharmacy is owned and operated by Soon R. Chung. It is located at 1400 S Grand Ave, #100, Los Angeles and it's customer support contact number is 213-746-4114. The authorized person of Grand Ave Pharmacy is Mr. Soon R Chung, R.PH who is Owner of the pharmacy and his contact number is 213-746-4114. Active license number of Grand Ave Pharmacy is PHY46585 for Pharmacy in California. Grand Ave Pharmacy 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.
Pharmacy Details:
Grand Ave 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:
Grand Ave Pharmacy
Type:
Pharmacy
Location:
1400 S Grand Ave, #100, Los Angeles, California, 90015-3048
Phone:
213-746-4114
Fax:
213-746-4465
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:
Mr. Soon R Chung
Credentials:
R.PH
Position:
Owner
Contact Number:
213-746-4114
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:
1437142981
NPI Enumeration Date:
30 Aug, 2005
NPI Last Update On:
07 Mar, 2023
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Grand Ave Pharmacy are as mentioned below.
Specialization
License Number
State
Status
Pharmacy
PHY46585
California
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
5615971
Other
Ncpdp
PHA465850
Medicaid
California
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
1400 S Grand Ave, #100 Los Angeles, California
Zip:
90015-3048
Phone Number:
213-746-4114
Fax Number:
213-746-4465
Patients can reach Grand Ave Pharmacy at 1400 S Grand Ave, #100, Los Angeles, California or can call on customer care at 213-746-4114.
Comments/ Reviews:
*Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 November, 2024.
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