Provider Demographics
NPI:1033349386
Name:P & K PHARMACY, INC.
Entity Type:Organization
Organization Name:P & K PHARMACY, INC.
Other - Org Name:CAL OAKS II HM PHARMACY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:MINAH
Authorized Official - Middle Name:
Authorized Official - Last Name:KIM
Authorized Official - Suffix:
Authorized Official - Credentials:PHARM D
Authorized Official - Phone:626-795-5956
Mailing Address - Street 1:625 S FAIR OAKS AVE
Mailing Address - Street 2:SUITE 125
Mailing Address - City:PASADENA
Mailing Address - State:CA
Mailing Address - Zip Code:91105-2615
Mailing Address - Country:US
Mailing Address - Phone:626-795-5956
Mailing Address - Fax:626-795-4998
Practice Address - Street 1:625 S FAIR OAKS AVE
Practice Address - Street 2:SUITE 125
Practice Address - City:PASADENA
Practice Address - State:CA
Practice Address - Zip Code:91105-2615
Practice Address - Country:US
Practice Address - Phone:626-795-5956
Practice Address - Fax:626-795-4998
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-07-21
Last Update Date:2009-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes183500000XPharmacy Service ProvidersPharmacistGroup - Single Specialty