Provider Demographics
NPI:1366457780
Name:HENRY'S PHARMACY INT'L INC
Entity Type:Organization
Organization Name:HENRY'S PHARMACY INT'L INC
Other - Org Name:HENRY'S PHARMACY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:HENRY
Authorized Official - Middle Name:I-HENG
Authorized Official - Last Name:HU
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:626-307-5408
Mailing Address - Street 1:127 N GARFIELD AVE
Mailing Address - Street 2:SUITE E
Mailing Address - City:MONTEREY PARK
Mailing Address - State:CA
Mailing Address - Zip Code:91754-1756
Mailing Address - Country:US
Mailing Address - Phone:626-307-5408
Mailing Address - Fax:626-307-0917
Practice Address - Street 1:127 N GARFIELD AVE
Practice Address - Street 2:SUITE E
Practice Address - City:MONTEREY PARK
Practice Address - State:CA
Practice Address - Zip Code:91754-1756
Practice Address - Country:US
Practice Address - Phone:626-307-5408
Practice Address - Fax:626-307-0917
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-31
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CARPH30794183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes183500000XPharmacy Service ProvidersPharmacistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAPHY305910Medicaid
CAPHY305910Medicaid
5523670001Medicare ID - Type Unspecified