Clover Pharmacy Inc in Walnut Creek - Community/retail Pharmacy
Clover Pharmacy Inc - NPI 1063518082
Clover Pharmacy Inc is a Community/retail Pharmacy in Walnut Creek, California. Clover Pharmacy Inc practices all healthcare services and medical treatments related to Community/retail Pharmacy. The NPI Number for Clover Pharmacy Inc is 1063518082. The last update date is 2018-01-29.
Clover Pharmacy Inc's current location address is 112 La Casa Via, Walnut Creek, California. You can contact this provider via phone number 9259396311 and fax number 9259395639. The mailing address for Clover Pharmacy Inc is 112 La Casa Via, Walnut Creek, California. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Clover Pharmacy Inc |
|---|---|
| Address | 112 La Casa Via, Walnut Creek, California |
| Phone Number | 9259396311 |
| Fax Number | 9259395639 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Tung Yu Gerald |
| Telephone Number | 9259396311 |
NPI Number Detail
| NPI Number | 1063518082 |
|---|---|
| Provider Enumeration Date | 2006-09-16 |
| Last Updated Date | 2018-01-29 |
Provider Mailing Address Detail
| Address | 112 La Casa Via |
|---|---|
| City | Walnut Creek |
| State | California (CA) |
| Post Code | 945983091 |
| Phone Number | 9259396311 |
| Fax Number | 9259395639 |
Provider's Primary Taxonomy Detail
| Speciality | Community/retail Pharmacy |
|---|---|
| Taxonomy | 3336C0003X |
| Licence No | PHY54381 |
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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 |
|---|---|---|---|
| 2159898 | PK | ||
| 1063518082 | CA | -- |
Post Comment/ Review Below
What is the Clover Pharmacy Inc's unique identification number?
The Clover Pharmacy Inc has been assigned the NPI (National Provider Identifier) Number 1063518082 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you kindly provide the complete physical address where Clover Pharmacy Inc's facilities are geographically located?
The facilities of Clover Pharmacy Inc are physically situated at the following location: 112 La Casa Via, Walnut Creek, CA, 945983091.
What is Clover Pharmacy Inc's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Clover Pharmacy Inc is Community/retail Pharmacy, and the corresponding taxonomy classification code for this specialized field is 3336C0003X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1063518082 to Clover Pharmacy Inc?
The Centers for Medicare & Medicaid Services originally issued the 1063518082 to Clover Pharmacy Inc on 2006-09-16.
As of what date were the Clover Pharmacy Inc's details last updated?
The information pertaining to the Clover Pharmacy Inc, including its address, specialty, and other details, was most recently updated on 2018-01-29.