Provider Demographics
NPI:1700227683
Name:OMNI HEALTHCARE SOLUTIONS INC
Entity Type:Organization
Organization Name:OMNI HEALTHCARE SOLUTIONS INC
Other - Org Name:PAYLESS PHARMACY V
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT/PHARMACIST
Authorized Official - Prefix:MR
Authorized Official - First Name:MARC
Authorized Official - Middle Name:
Authorized Official - Last Name:HOANG
Authorized Official - Suffix:
Authorized Official - Credentials:PHARM D
Authorized Official - Phone:626-286-1588
Mailing Address - Street 1:927 E LAS TUNAS DR
Mailing Address - Street 2:SUITE H
Mailing Address - City:SAN GABRIEL
Mailing Address - State:CA
Mailing Address - Zip Code:91776-1661
Mailing Address - Country:US
Mailing Address - Phone:626-286-1588
Mailing Address - Fax:626-286-5088
Practice Address - Street 1:927 E LAS TUNAS DR
Practice Address - Street 2:SUITE H
Practice Address - City:SAN GABRIEL
Practice Address - State:CA
Practice Address - Zip Code:91776-1661
Practice Address - Country:US
Practice Address - Phone:626-286-1588
Practice Address - Fax:626-286-5088
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-07-08
Last Update Date:2013-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA3336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy