Healthcare Provider Details

I. General information

NPI: 1457773277
Provider Name (Legal Business Name): UNHWA PHARMACY INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/14/2014
Last Update Date: 05/01/2025
Certification Date: 05/01/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2999 W 6TH ST STE 103
LOS ANGELES CA
90020-1256
US

IV. Provider business mailing address

2999 W 6TH ST STE 103
LOS ANGELES CA
90020-1256
US

V. Phone/Fax

Practice location:
  • Phone: 213-384-1200
  • Fax: 213-384-1201
Mailing address:
  • Phone: 213-384-1200
  • Fax: 213-384-1201

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1835P0018X
TaxonomyPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code333600000X
TaxonomyPharmacy
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number51782
License Number StateCA

VIII. Authorized Official

Name: MIYE KIM
Title or Position: BUSINESS OWNER, PIC
Credential: RPH
Phone: 213-384-1200