Provider Demographics
NPI:1942301098
Name:PAI AND CHAN PHARMACY CORP. II
Entity Type:Organization
Organization Name:PAI AND CHAN PHARMACY CORP. II
Other - Org Name:KEY DRUGS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT/CEO/PIC
Authorized Official - Prefix:
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:
Authorized Official - Last Name:PAI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:213-383-2211
Mailing Address - Street 1:770 S VERMONT AVE
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90005-1520
Mailing Address - Country:US
Mailing Address - Phone:213-383-2211
Mailing Address - Fax:213-674-2458
Practice Address - Street 1:770 S VERMONT AVE
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90005-1520
Practice Address - Country:US
Practice Address - Phone:213-383-2211
Practice Address - Fax:213-674-2458
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-25
Last Update Date:2017-01-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
333600000X, 3336L0003X, 3336S0011X
CA511273336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No333600000XSuppliersPharmacy
No3336L0003XSuppliersPharmacyLong Term Care Pharmacy
No3336S0011XSuppliersPharmacySpecialty Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
2137836OtherPK
2137836OtherPK