Provider Demographics
NPI:1285657627
Name:AMERICAN MEDICAL PHARMACY
Entity Type:Organization
Organization Name:AMERICAN MEDICAL PHARMACY
Other - Org Name:GEORGE T Y ZHUANG DOING BUSINESS AS AMERICAN MEDICAL PHARMACY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PHARMACIST
Authorized Official - Prefix:MR
Authorized Official - First Name:GEORGE
Authorized Official - Middle Name:
Authorized Official - Last Name:ZHUANG
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:323-728-9511
Mailing Address - Street 1:2601 W BEVERLY BLVD
Mailing Address - Street 2:
Mailing Address - City:MONTEBELLO
Mailing Address - State:CA
Mailing Address - Zip Code:90640-2309
Mailing Address - Country:US
Mailing Address - Phone:323-728-9511
Mailing Address - Fax:323-728-9511
Practice Address - Street 1:2601 W BEVERLY BLVD
Practice Address - Street 2:
Practice Address - City:MONTEBELLO
Practice Address - State:CA
Practice Address - Zip Code:90640-2309
Practice Address - Country:US
Practice Address - Phone:323-728-9511
Practice Address - Fax:323-728-9511
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-26
Last Update Date:2008-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPHY346643336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAPHA346640Medicaid