Provider Demographics
NPI:1689988271
Name:WATSONS PHARMACY INC
Entity Type:Organization
Organization Name:WATSONS PHARMACY INC
Other - Org Name:WATSONS PHARMACY AND HOME HEALTH
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT/PIC
Authorized Official - Prefix:MR
Authorized Official - First Name:PETER
Authorized Official - Middle Name:KA-HUNG
Authorized Official - Last Name:CHEUNG
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:626-280-2223
Mailing Address - Street 1:8622 GARVEY AVE
Mailing Address - Street 2:STE 102
Mailing Address - City:ROSEMEAD
Mailing Address - State:CA
Mailing Address - Zip Code:91770-3293
Mailing Address - Country:US
Mailing Address - Phone:626-280-2223
Mailing Address - Fax:626-280-8243
Practice Address - Street 1:8622 GARVEY AVE
Practice Address - Street 2:STE 102
Practice Address - City:ROSEMEAD
Practice Address - State:CA
Practice Address - Zip Code:91770-3291
Practice Address - Country:US
Practice Address - Phone:626-280-2223
Practice Address - Fax:626-280-8243
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-08-06
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPHY 50348333600000X, 3336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No333600000XSuppliersPharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA56-38626OtherNCPDP
CAPHY 50348OtherRETAIL PHARMACY PERMIT
CAPHY 50348OtherRETAIL PHARMACY PERMIT