Provider Demographics
NPI:1083336531
Name:NEW LIFE PHARMACY SERVICES INC
Entity Type:Organization
Organization Name:NEW LIFE PHARMACY SERVICES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PIC
Authorized Official - Prefix:MRS
Authorized Official - First Name:YUNNA
Authorized Official - Middle Name:
Authorized Official - Last Name:CHANG
Authorized Official - Suffix:
Authorized Official - Credentials:PHARMD
Authorized Official - Phone:213-663-8232
Mailing Address - Street 1:520 N BROOKHURST ST STE 118
Mailing Address - Street 2:
Mailing Address - City:ANAHEIM
Mailing Address - State:CA
Mailing Address - Zip Code:92801-5232
Mailing Address - Country:US
Mailing Address - Phone:657-220-4011
Mailing Address - Fax:657-201-3603
Practice Address - Street 1:520 N BROOKHURST ST STE 118
Practice Address - Street 2:
Practice Address - City:ANAHEIM
Practice Address - State:CA
Practice Address - Zip Code:92801-5232
Practice Address - Country:US
Practice Address - Phone:657-220-4011
Practice Address - Fax:657-201-3603
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-09-12
Last Update Date:2022-10-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes183500000XPharmacy Service ProvidersPharmacistGroup - Single Specialty