Provider Demographics
NPI:1700932118
Name:CHEMIQUE PHARMACEUTICALS, INC.
Entity Type:Organization
Organization Name:CHEMIQUE PHARMACEUTICALS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:PHIL
Authorized Official - Middle Name:LOWELL
Authorized Official - Last Name:MILLMAN
Authorized Official - Suffix:
Authorized Official - Credentials:PHARMD
Authorized Official - Phone:562-698-0921
Mailing Address - Street 1:PO BOX 4369
Mailing Address - Street 2:
Mailing Address - City:WHITTIER
Mailing Address - State:CA
Mailing Address - Zip Code:90607-4369
Mailing Address - Country:US
Mailing Address - Phone:562-698-0921
Mailing Address - Fax:562-693-6112
Practice Address - Street 1:176 UNIVERSITY PKWY
Practice Address - Street 2:
Practice Address - City:POMONA
Practice Address - State:CA
Practice Address - Zip Code:91768-4300
Practice Address - Country:US
Practice Address - Phone:909-598-1010
Practice Address - Fax:909-594-4205
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-26
Last Update Date:2011-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPHA33675333600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes333600000XSuppliersPharmacy