Provider Demographics
NPI:1326153354
Name:PSM HEALTHCARE INC
Entity Type:Organization
Organization Name:PSM HEALTHCARE INC
Other - Org Name:ARCADIA CENTER PHARMACY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT/CEO
Authorized Official - Prefix:
Authorized Official - First Name:TUSHAR
Authorized Official - Middle Name:HEMANT
Authorized Official - Last Name:PATEL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:626-446-3300
Mailing Address - Street 1:631 W DUARTE RD
Mailing Address - Street 2:
Mailing Address - City:ARCADIA
Mailing Address - State:CA
Mailing Address - Zip Code:91007-7332
Mailing Address - Country:US
Mailing Address - Phone:626-446-3300
Mailing Address - Fax:626-446-3360
Practice Address - Street 1:631 W DUARTE RD
Practice Address - Street 2:
Practice Address - City:ARCADIA
Practice Address - State:CA
Practice Address - Zip Code:91007-7332
Practice Address - Country:US
Practice Address - Phone:626-446-3300
Practice Address - Fax:626-446-3360
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-20
Last Update Date:2023-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No333600000XSuppliersPharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAPHY59159OtherBOARD OF PHARMACY
2000680OtherPK