Provider Demographics
NPI:1710973409
Name:PHARMILYCARE INC
Entity Type:Organization
Organization Name:PHARMILYCARE INC
Other - Org Name:ROSA II PHARMACY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT/CEO/CFO/SECRETARY/DIRECTO
Authorized Official - Prefix:
Authorized Official - First Name:HOANG TRUNG
Authorized Official - Middle Name:XUAN
Authorized Official - Last Name:PHAM
Authorized Official - Suffix:
Authorized Official - Credentials:PHARM D
Authorized Official - Phone:626-286-8931
Mailing Address - Street 1:8729 VALLEY BLVD
Mailing Address - Street 2:SUITE D
Mailing Address - City:ROSEMEAD
Mailing Address - State:CA
Mailing Address - Zip Code:91770-1779
Mailing Address - Country:US
Mailing Address - Phone:626-286-8931
Mailing Address - Fax:626-286-8963
Practice Address - Street 1:8729 VALLEY BLVD
Practice Address - Street 2:SUITE D
Practice Address - City:ROSEMEAD
Practice Address - State:CA
Practice Address - Zip Code:91770-1779
Practice Address - Country:US
Practice Address - Phone:626-286-8931
Practice Address - Fax:626-286-8963
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-09-27
Last Update Date:2024-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No333600000XSuppliersPharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAPHY59127OtherBOARD OF PHARMACY
2112545OtherPK