Provider Demographics
NPI:1558726455
Name:CHINATOWN PHARMACY INC
Entity Type:Organization
Organization Name:CHINATOWN PHARMACY INC
Other - Org Name:CHINATOWN PHARMACY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT/PIC
Authorized Official - Prefix:MR
Authorized Official - First Name:JIMMY
Authorized Official - Middle Name:C
Authorized Official - Last Name:UNG
Authorized Official - Suffix:
Authorized Official - Credentials:PHARM D
Authorized Official - Phone:213-687-9999
Mailing Address - Street 1:709 N HILL ST
Mailing Address - Street 2:#21
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90012-2361
Mailing Address - Country:US
Mailing Address - Phone:213-687-9999
Mailing Address - Fax:213-687-9998
Practice Address - Street 1:709 N HILL ST
Practice Address - Street 2:#21
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90012-2361
Practice Address - Country:US
Practice Address - Phone:213-687-9999
Practice Address - Fax:213-687-9998
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-12-18
Last Update Date:2015-12-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA3336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy