Provider Demographics
NPI:1083368716
Name:HAPPY MED INC.
Entity Type:Organization
Organization Name:HAPPY MED INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:MICHELLE
Authorized Official - Middle Name:WENDY
Authorized Official - Last Name:LAM
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:626-335-2300
Mailing Address - Street 1:210 S GRAND AVE STE 116
Mailing Address - Street 2:
Mailing Address - City:GLENDORA
Mailing Address - State:CA
Mailing Address - Zip Code:91741-4262
Mailing Address - Country:US
Mailing Address - Phone:626-335-2300
Mailing Address - Fax:626-914-0713
Practice Address - Street 1:210 S GRAND AVE STE 116
Practice Address - Street 2:
Practice Address - City:GLENDORA
Practice Address - State:CA
Practice Address - Zip Code:91741-4262
Practice Address - Country:US
Practice Address - Phone:626-335-2300
Practice Address - Fax:626-914-0713
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-02-10
Last Update Date:2022-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336L0003XSuppliersPharmacyLong Term Care Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA1033725478Medicaid