Provider Demographics
NPI:1346380086
Name:STERLING TELEGRAPH INC
Entity Type:Organization
Organization Name:STERLING TELEGRAPH INC
Other - Org Name:CROWN CARE PHARMACY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:KIEU
Authorized Official - Middle Name:
Authorized Official - Last Name:LIENG
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:626-442-7696
Mailing Address - Street 1:3208 SANTA ANITA AVE
Mailing Address - Street 2:STE 101
Mailing Address - City:EL MONTE
Mailing Address - State:CA
Mailing Address - Zip Code:91733-1360
Mailing Address - Country:US
Mailing Address - Phone:626-442-7696
Mailing Address - Fax:626-442-8840
Practice Address - Street 1:3208 SANTA ANITA AVE
Practice Address - Street 2:STE 101
Practice Address - City:EL MONTE
Practice Address - State:CA
Practice Address - Zip Code:91733-1360
Practice Address - Country:US
Practice Address - Phone:626-442-7696
Practice Address - Fax:626-442-8840
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-08
Last Update Date:2015-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPHY502913336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
2125672OtherPK