MEDICARE: BELLWOOD MEDICAL CENTER PHARMACY CORP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	333600000X	Pharmacy
2	3336C0003X	Community/Retail Pharmacy	46710	CA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	1997711	OTHER		PK
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1023053345
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BELLWOOD MEDICAL CENTER PHARMACY CORP

Provider Business Mailing Address
First Line	:	10230 E ARTESIA
Second Line	:	STE 101
City	:	BELLFLOWER
State	:	CA
Zip	:	90706
Country	:	US
Telephone Number	:	562-866-8281
Fax Number	:	562-866-3427

Provider Business Practice Location Address
First Line	:	10230 ARTESIA BLVD
Second Line	:	STE 101
City	:	BELLFLOWER
State	:	CA
Zip	:	90706-6763
Country	:	US
Telephone Number	:	562-866-8281
Fax Number	:	562-866-3427

Authorized Official
Title or Position	:	PRESIDENT
Name	:	RYAN KIM
Credential	:
Telephone Number	:	562-866-8281

Provider Enumeration Date	:	06/19/2006
Last Update Date	:	09/19/2025

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Directions to “BELLWOOD MEDICAL CENTER PHARMACY CORP ” Practice Location

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