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Gonzalez Pharmacy
Managed Care Organization Pharmacy in La Puente, California
NPI 1568510576

Gonzalez Pharmacy is a Managed Care Organization Pharmacy based in La Puente, CA and is specialized in Managed Care Organization Pharmacy. Gonzalez Pharmacy practices in La Puente, CA. The NPI Number for Gonzalez Pharmacy is 1568510576 and holds a License No. PHY48213 (California).

The current practice location address for Gonzalez Pharmacy is 1240 N Hacienda Blvd, La Puente, CA and can be reached out via phone at 626-221-2103 and via fax at 626-918-4500.

Location: 1240 N Hacienda Blvd, La Puente, CA, 91744-1662
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1568510576
Provider Name
Gonzalez Pharmacy
Credential
Provider Entity Type
Organization
Address
1240 N Hacienda Blvd, La Puente, CA, 91744-1662
Phone Number
626-221-2103
Fax Number
626-918-4500
Provider Enumeration Date
01/08/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
5625061 01 OTHER ID NUMBER-COMMERCIAL NUMBER
institution
Provider Business Practice Location Address Details
Address
1240 N Hacienda Blvd
City
La Puente
State
California
Zip
91744-1662
Phone Number
626-221-2103
Fax Number
626-918-4500
person
Provider Business Mailing Address Details
Address
1240 N Hacienda Blvd
City
La Puente
State
California
Zip
91744-1662
Phone Number
626-221-2103
Fax Number
626-918-4500
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Pharmacy
Speciality
Long Term Care Pharmacy
Taxonomy
3336L0003X
License No.
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Definition
A pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities for mentally retarded, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements.
person
Provider's Taxonomy Details 2
Type
Suppliers
Classification
Pharmacy
Speciality
Managed Care Organization Pharmacy
Taxonomy
3336M0003X
License No.
PHY48213 (California)
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.
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