MEDICARE: DR. CAROL QUACH

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	183500000X	Pharmacist	253819	AK
2	183500000X	Pharmacist	25068	NV

General Provider Information

NPI Number	:	1427534171
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. CAROL QUACH

Provider Business Mailing Address
First Line	:	12010 HEMLOCK ST
Second Line	:
City	:	EL MONTE
State	:	CA
Zip	:	91732-1514
Country	:	US
Telephone Number	:	626-804-4876
Fax Number	:

Provider Business Practice Location Address
First Line	:	12010 HEMLOCK ST
Second Line	:
City	:	EL MONTE
State	:	CA
Zip	:	91732-1514
Country	:	US
Telephone Number	:	626-560-7534
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/16/2018
Last Update Date	:	05/10/2026

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Directions to “ DR. CAROL QUACH ” Practice Location

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