Healthcare Provider Details
I. General information
NPI: 1083000830
Provider Name (Legal Business Name): HV HEALTHCARE INC.
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 04/08/2015
Last Update Date: 04/08/2015
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
12464 WASHINGTON BLVD
WHITTIER CA
90602-1005
US
IV. Provider business mailing address
12464 WASHINGTON BLVD
WHITTIER CA
90602-1005
US
V. Phone/Fax
- Phone: 562-646-3339
- Fax: 562-646-0018
- Phone: 562-646-3339
- Fax: 562-646-0018
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 3336C0003X |
| Taxonomy | Community/Retail Pharmacy |
| License Number | PHY53286 |
| License Number State | CA |
VIII. Authorized Official
Name: MR.
HUY JIMMY
VO
Title or Position: PRESIDENT
Credential: PHARM D.
Phone: 562-646-3339