Boonam Shin in Montebello - Community/retail Pharmacy
Boonam Shin - NPI 1821137118
Boonam Shin is a Community/retail Pharmacy in Montebello, California. Boonam Shin practices all healthcare services and medical treatments related to Community/retail Pharmacy. The NPI Number for Boonam Shin is 1821137118. The last update date is 2011-05-27.
Boonam Shin's current location address is 111 W Beverly Blvd, Montebello, California. You can contact this provider via phone number 3237248111 and fax number 3237241754. The mailing address for Boonam Shin is 111 W Beverly Blvd, Montebello, California. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Boonam Shin |
|---|---|
| Address | 111 W Beverly Blvd, Montebello, California |
| Phone Number | 3237248111 |
| Fax Number | 3237241754 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Shin Boonam |
| Credentials | RPH |
| Telephone Number | 3237428111 |
NPI Number Detail
| NPI Number | 1821137118 |
|---|---|
| Provider Enumeration Date | 2007-02-05 |
| Last Updated Date | 2011-05-27 |
Provider Mailing Address Detail
| Address | 111 W Beverly Blvd |
|---|---|
| City | Montebello |
| State | California (CA) |
| Post Code | 906404312 |
| Phone Number | 3237248111 |
| Fax Number | 3237241754 |
Provider's Primary Taxonomy Detail
| Speciality | Community/retail Pharmacy |
|---|---|
| Taxonomy | 3336C0003X |
| Licence No | PHY41023 |
|
Definition: 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 pr |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 523008 | OTHER ID NUMBER | ||
| PHA410230 | CA | -- |
Post Comment/ Review Below
What is the Boonam Shin's 1821137118?
The Boonam Shin's NPI (National Provider Identifier) Number is 1821137118. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where Boonam Shin is physically located?
The Boonam Shin is physically situated at the following address: 111 W Beverly Blvd, Montebello, CA, 906404312.
What is Boonam Shin's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Boonam Shin is Community/retail Pharmacy, and the taxonomy code that categorizes this field of expertise is 3336C0003X.
When was the Boonam Shin's 1821137118 issued?
The Boonam Shin's 1821137118 was issued on 2007-02-05.
As of what date were the details related to Boonam Shin most recently updated or revised?
The information pertaining to Boonam Shin, including its address, specialty, and other relevant details, was last updated or revised on 2011-05-27.
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