Provider Demographics
NPI:1821118910
Name:THE JHC CORPORTATION
Entity Type:Organization
Organization Name:THE JHC CORPORTATION
Other - Org Name:NGUYEN HIENS PHARMACY
Other - Org Type:Other Name
Authorized Official - Title/Position:PHARMACIST IN CHARGE
Authorized Official - Prefix:MS
Authorized Official - First Name:HIEN
Authorized Official - Middle Name:THI
Authorized Official - Last Name:NGUYEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:619-521-0013
Mailing Address - Street 1:4242 EL CAJON BLVD
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92105-1230
Mailing Address - Country:US
Mailing Address - Phone:619-521-0013
Mailing Address - Fax:619-521-1067
Practice Address - Street 1:4242 EL CAJON BLVD
Practice Address - Street 2:
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92105-1230
Practice Address - Country:US
Practice Address - Phone:619-521-0013
Practice Address - Fax:619-521-1067
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-30
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPHY41740183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes183500000XPharmacy Service ProvidersPharmacistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAPHA417400Medicaid
CA0509452Medicare UPIN
CAPHA417400Medicaid