MEDICARE: VERDUGO PLAZA PHARMACY INC

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	3336C0004X	Compounding Pharmacy
2	3336L0003X	Long Term Care Pharmacy	PHY49003	CA
3	333600000X	Pharmacy

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	2113472	OTHER		PK

General Provider Information

NPI Number	:	1689848269
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	VERDUGO PLAZA PHARMACY INC

Provider Business Mailing Address
First Line	:	3039 W VALLEY BLVD
Second Line	:
City	:	ALHAMBRA
State	:	CA
Zip	:	91803-1822
Country	:	US
Telephone Number	:	626-281-3799
Fax Number	:	626-281-0711

Provider Business Practice Location Address
First Line	:	3039 W VALLEY BLVD
Second Line	:
City	:	ALHAMBRA
State	:	CA
Zip	:	91803-1822
Country	:	US
Telephone Number	:	626-281-3799
Fax Number	:	626-281-0711

Authorized Official
Title or Position	:	PRESIDENT
Name	:	LAWRENCE WONG
Credential	:
Telephone Number	:	626-281-3799

Provider Enumeration Date	:	04/15/2008
Last Update Date	:	09/19/2025

Similar Medicare Providers

1144264987 — V.P.P. LTC INC
Practice Location Address:

3039 W VALLEY BLVD
ALHAMBRA, CA
91803-1822

Practice Phone: 626-281-3799
Practice Fax:

1588457717 — JACQUELINE KOLEONG
Practice Location Address:

3039 W VALLEY BLVD
ALHAMBRA, CA
91803-1822

Practice Phone: 626-281-3799
Practice Fax: 626-281-0711

1831055656 — ROSARIO SANDOVAL
Practice Location Address:

1822 W COMMONWEALTH AVE
ALHAMBRA, CA
91803-1506

Practice Phone: 818-723-4397
Practice Fax:

1508704693 — TERRIE DOMINIQ BELTON
Practice Location Address:

1000 S FREMONT AVE
ALHAMBRA, CA
91803-8800

Practice Phone: 626-349-3838
Practice Fax:

1790160273 — UNIVERSITY OF SOUTHERN CALIFORNIA
Practice Location Address:

1000 S FREMONT AVE , SUITE 10150
ALHAMBRA, CA
91803-8800

Practice Phone: 855-885-2600
Practice Fax: 626-457-4195

1184562837 — AZUCENA JASMIN REYES
Practice Location Address:

1000 S FREMONT AVE
ALHAMBRA, CA
91803-8800

Practice Phone: 626-759-9154
Practice Fax:

Directions to “VERDUGO PLAZA PHARMACY INC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.