Gonzalez Pharmacy in La Puente - Managed Care Organization Pharmacy
Gonzalez Pharmacy - NPI 1568510576
Gonzalez Pharmacy is a Managed Care Organization Pharmacy in La Puente, California. Gonzalez Pharmacy practices all healthcare services and medical treatments related to Managed Care Organization Pharmacy. The NPI Number for Gonzalez Pharmacy is 1568510576. The last update date is 2020-08-22.
Gonzalez Pharmacy's current location address is 1240 N Hacienda Blvd, La Puente, California. You can contact this provider via phone number 6262212103 and fax number 6269184500. The mailing address for Gonzalez Pharmacy is 1240 N Hacienda Blvd, La Puente, California. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Gonzalez Pharmacy |
|---|---|
| Address | 1240 N Hacienda Blvd, La Puente, California |
| Phone Number | 6262212103 |
| Fax Number | 6269184500 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER PIC |
|---|---|
| Authorized Official Name | Kaishar Gabriel |
| Credentials | RPH |
| Telephone Number | 6262212103 |
NPI Number Detail
| NPI Number | 1568510576 |
|---|---|
| Provider Enumeration Date | 2007-01-08 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 1240 N Hacienda Blvd |
|---|---|
| City | La Puente |
| State | California (CA) |
| Post Code | 917441662 |
| Phone Number | 6262212103 |
| Fax Number | 6269184500 |
Provider's Primary Taxonomy Detail
| Speciality | Managed Care Organization Pharmacy |
|---|---|
| Taxonomy | 3336M0003X |
|
Definition: A pharmacy owned by a managed care organization (MCO) used by pharmacists for the compounding and dispensing of medicinal preparations to that MCO's covered members only. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 5625061 | OTHER ID NUMBER-COMMERCIAL NUM |
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What is the unique identifier code issued to Gonzalez Pharmacy by the Centers for Medicare & Medicaid Services?
The Gonzalez Pharmacy has been assigned the NPI (National Provider Identifier) 1568510576. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Where is the Gonzalez Pharmacy located?
The Gonzalez Pharmacy is located at 1240 N Hacienda Blvd, La Puente, CA 917441662.
What is Gonzalez Pharmacy's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Gonzalez Pharmacy is Managed Care Organization Pharmacy, and the corresponding taxonomy classification code for this specialized field is 3336M0003X.
When did the Gonzalez Pharmacy receive its 1568510576?
The Gonzalez Pharmacy was issued its 1568510576 on 2007-01-08, which is the date when the organization was assigned this unique identifier.
As of what date was the information regarding Gonzalez Pharmacy, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Gonzalez Pharmacy, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2020-08-22.