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Boonam Shin
Community/Retail Pharmacy in Montebello, California
NPI 1821137118

Boonam Shin is a Community/Retail Pharmacy based in Montebello, CA and is specialized in Community/Retail Pharmacy. Boonam Shin practices in Montebello, CA. The NPI Number for Boonam Shin is 1821137118 and holds a License No. (California).

The current practice location address for Boonam Shin is 111 W Beverly Blvd, Montebello, CA and can be reached out via phone at 323-724-8111 and via fax at 323-724-1754. You can also correspond with Boonam Shin through the mailing address at 111 W BEVERLY BLVD, MONTEBELLO, CA - 90640-4312 (mailing address contact number: 323-724-8111).

Location: 111 W Beverly Blvd, Montebello, CA, 90640-4312
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1821137118
Provider Name
Boonam Shin
Credential
Provider Entity Type
Organization
Address
111 W Beverly Blvd, Montebello, CA, 90640-4312
Phone Number
323-724-8111
Fax Number
323-724-1754
Provider Enumeration Date
02/05/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0523008 01 OTHER ID NUMBER
PHA410230 05 CA
institution
Provider Business Practice Location Address Details
Address
111 W Beverly Blvd
City
Montebello
State
California
Zip
90640-4312
Phone Number
323-724-8111
Fax Number
323-724-1754
person
Provider Business Mailing Address Details
Address
111 W Beverly Blvd
City
Montebello
State
California
Zip
90640-4312
Phone Number
323-724-8111
Fax Number
323-724-1754
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Pharmacy
Speciality
-
Taxonomy
333600000X
License No.
PHY41023 (California)
Definition
A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located.
person
Provider's Taxonomy Details 2
Type
Suppliers
Classification
Pharmacy
Speciality
Community/Retail Pharmacy
Taxonomy
3336C0003X
License No.
()
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 process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.
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