Provider Demographics
NPI:1275103277
Name:LIKAELENN LLC
Entity Type:Organization
Organization Name:LIKAELENN LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PIC
Authorized Official - Prefix:DR
Authorized Official - First Name:SUN-CHIANG
Authorized Official - Middle Name:
Authorized Official - Last Name:LIN
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:956-525-7033
Mailing Address - Street 1:1740 BOCA CHICA BLVD STE 400
Mailing Address - Street 2:
Mailing Address - City:BROWNSVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:78520-8146
Mailing Address - Country:US
Mailing Address - Phone:956-525-7033
Mailing Address - Fax:956-525-7033
Practice Address - Street 1:1740 BOCA CHICA BLVD STE 400
Practice Address - Street 2:
Practice Address - City:BROWNSVILLE
Practice Address - State:TX
Practice Address - Zip Code:78520-8146
Practice Address - Country:US
Practice Address - Phone:956-525-7033
Practice Address - Fax:956-525-7033
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-06-30
Last Update Date:2021-07-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy