Provider Demographics
NPI:1881194389
Name:SAMSUNG CARE PHARMACY INC
Entity Type:Organization
Organization Name:SAMSUNG CARE PHARMACY INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:INAE
Authorized Official - Middle Name:
Authorized Official - Last Name:OH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:213-361-5929
Mailing Address - Street 1:2717 W OLYMPIC BLVD STE 105
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90006-2642
Mailing Address - Country:US
Mailing Address - Phone:213-263-2036
Mailing Address - Fax:213-263-2051
Practice Address - Street 1:2717 W OLYMPIC BLVD STE 105
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90006-2642
Practice Address - Country:US
Practice Address - Phone:213-263-2036
Practice Address - Fax:213-263-2051
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-02-20
Last Update Date:2021-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPHY560713336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy