1366457780 NPI number — HENRY'S PHARMACY INT'L INC

Table of content: (NPI 1366457780)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1366457780 NPI number — HENRY'S PHARMACY INT'L INC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
HENRY'S PHARMACY INT'L INC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
6
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1366457780
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
03/07/2023
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
127 N GARFIELD AVE
Provider Second Line Business Mailing Address:
SUITE E
Provider Business Mailing Address City Name:
MONTEREY PARK
Provider Business Mailing Address State Name:
CA
Provider Business Mailing Address Postal Code:
91754-1756
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
626-307-5408
Provider Business Mailing Address Fax Number:
626-307-0917

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
127 N GARFIELD AVE
Provider Second Line Business Practice Location Address:
SUITE E
Provider Business Practice Location Address City Name:
MONTEREY PARK
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
91754-1756
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
626-307-5408
Provider Business Practice Location Address Fax Number:
626-307-0917
Provider Enumeration Date:
07/31/2006

Additional Information

Authorized Official

Authorized Official Last Name:
HU
Authorized Official First Name:
HENRY
Authorized Official Middle Name:
I-HENG
Authorized Official Title or Position:
CEO
Authorized Official Telephone Number:
626-307-5408

Provider Taxonomy Codes

  • Taxonomy code: 183500000X , with the licence number:  RPH30794 , registered in the state of CA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: PHY305910 , issued by the state of ( CA ) . This identifiers is of the category "MEDICAID".




Copyright © 2007-2025 www.npivalidator.com